Section of Thoracic Surgery, Department of Surgery, University of Michigan, Ann Arbor, MI, USA.
Division of Cardiothoracic Surgery, Department of Surgery, Emory University, Atlanta, GA, USA.
Ann Surg Oncol. 2018 Jan;25(1):64-67. doi: 10.1245/s10434-016-5677-2. Epub 2017 Jan 5.
There is no consensus on mediastinal lymph node dissection versus sampling for early-stage lung cancer. There are also mixed data on the ability to remove an adequate number of lymph nodes by a minimally invasive approach. In this review, we discuss the difference between dissection and sampling, what circumstances dictate the use of one or the other during an anatomic pulmonary resection for lung cancer, and when it is appropriate to use minimally invasive versus open approaches in the assessment of mediastinal nodes.
对于早期肺癌，纵隔淋巴结清扫术与采样术尚未达成共识。微创方法能否移除足够数量的淋巴结也存在数据混杂。在本次综述中，我们讨论了清扫术与采样术的区别、解剖性肺切除术中决定使用其中一种方法的具体情况，以及评估纵隔淋巴结时微创与开放方法的适用时机。
