[肺癌手术中淋巴结清扫术的争议与共识]
[The Argument and Consensus of Lymphadenectomy on Lung Cancer Surgery].
作者信息
Zhang Lanjun
机构信息
Department of Thoracic Surgery, Sun Yat-sen University Cancer Center, Guangzhou 510060, China.
出版信息
Zhongguo Fei Ai Za Zhi. 2018 Mar 20;21(3):176-179. doi: 10.3779/j.issn.1009-3419.2018.03.10.
Abstract
Lymph node metastasis is an important route of metastasis of lung cancer. Lymphadenectomy has become the standard surgical procedure for lung cancer. The way of intraoperative lymph node assessment also affects the prognosis and treatment strategy of lung cancer. In clinical practice, the way of intraoperative lymph node assessment ranges from selected lymph node biopsy to extended lymph node dissection. The advantages and disadvantages of different lymph node assessment are still controversial. In this article, the argument and consensus of lymphadenectomy on lung cancer operation are summarized.
摘要
淋巴结转移是肺癌转移的重要途径。淋巴结清扫术已成为肺癌的标准外科手术。术中淋巴结评估方式也影响肺癌的预后和治疗策略。在临床实践中，术中淋巴结评估方式从选择性淋巴结活检到扩大淋巴结清扫不等。不同淋巴结评估方式的优缺点仍存在争议。本文总结了肺癌手术中淋巴结清扫术的争论与共识。
相似文献
1
[The Argument and Consensus of Lymphadenectomy on Lung Cancer Surgery].[肺癌手术中淋巴结清扫术的争议与共识]
Zhongguo Fei Ai Za Zhi. 2018 Mar 20;21(3):176-179. doi: 10.3779/j.issn.1009-3419.2018.03.10.
2
[Research progress of lobe-specific lymphadenectomy on early stage lung cancer operation].[早期肺癌手术中肺叶特异性淋巴结清扫术的研究进展]
Zhongguo Fei Ai Za Zhi. 2011 Jan;14(1):63-8. doi: 10.3779/j.issn.1009-3419.2011.01.13.
3
The role of lymphadenectomy in lung cancer surgery.肺癌手术中淋巴结清扫的作用。
Thorac Surg Clin. 2012 May;22(2):227-37. doi: 10.1016/j.thorsurg.2011.12.001. Epub 2012 Jan 11.
4
Surgical treatment of non-small cell lung cancer: mediastinal lymph node dissection.非小细胞肺癌的外科治疗：纵隔淋巴结清扫术
Rays. 2004 Oct-Dec;29(4):423-9.
5
[Prognosis and prognostic factor after extended lymphadenectomy in lung cancer].[肺癌扩大淋巴结清扫术后的预后及预后因素]
Nihon Kyobu Geka Gakkai Zasshi. 1997 May;45(5):711-7.
6
Sentinel node sampling limits lymphadenectomy in stage I non-small cell lung cancer.前哨淋巴结取样限制了I期非小细胞肺癌的淋巴结清扫术。
Eur J Cardiothorac Surg. 2007 Aug;32(2):356-61. doi: 10.1016/j.ejcts.2007.04.030. Epub 2007 May 21.
7
Extent of removal for mediastinal nodal stations for patients with clinical stage I non-small cell lung cancer: effect on outcome.临床I期非小细胞肺癌患者纵隔淋巴结站的切除范围：对预后的影响。
Thorac Cardiovasc Surg. 2014 Oct;62(7):599-604. doi: 10.1055/s-0033-1360478. Epub 2014 Jan 13.
8
Is lobe-specific lymph node dissection appropriate in lung cancer patients undergoing routine mediastinoscopy?对于接受常规纵隔镜检查的肺癌患者，进行肺叶特异性淋巴结清扫是否合适？
Thorac Cardiovasc Surg. 2007 Mar;55(2):112-9. doi: 10.1055/s-2006-924626.
9
Improved staging using intraoperative ultrasound for mediastinal lymphadenectomy in non-small lung cancer surgery.在非小细胞肺癌手术中使用术中超声改进纵隔淋巴结清扫的分期。
Surgeon. 2014 Aug;12(4):191-4. doi: 10.1016/j.surge.2013.11.019. Epub 2013 Dec 22.
10
Impact of Omission of Intrapulmonary Lymph Node Retrieval on Outcome Evaluation of Lung Cancer Patients Without Lymph Node Metastasis: A Propensity Score Matching Analysis.肺内淋巴结取样缺失对无淋巴结转移肺癌患者预后评估的影响：倾向评分匹配分析。
Clin Lung Cancer. 2017 Nov;18(6):e411-e416. doi: 10.1016/j.cllc.2017.05.001. Epub 2017 May 11.
引用本文的文献
1
[Establishment of a Predictive Model for Chronic Cough after Pulmonary Resection].[肺切除术后慢性咳嗽预测模型的建立]
Zhongguo Fei Ai Za Zhi. 2024 Jan 20;27(1):38-46. doi: 10.3779/j.issn.1009-3419.2024.101.02.
本文引用的文献
1
Mediastinal lymph node dissection in surgical treatment for early stage non-small-cell lung cancer: lobe-specific or systematic?早期非小细胞肺癌手术治疗中纵隔淋巴结清扫：按肺叶进行还是系统性清扫？
J Thorac Dis. 2017 Sep;9(9):2728-2731. doi: 10.21037/jtd.2017.07.77.
2
Lymph node dissection and survival in patients with early stage nonsmall cell lung cancer: A 10-year cohort study.早期非小细胞肺癌患者的淋巴结清扫与生存率：一项10年队列研究。
Medicine (Baltimore). 2017 Oct;96(43):e8356. doi: 10.1097/MD.0000000000008356.
3
The IASLC Lung Cancer Staging Project: External Validation of the Revision of the TNM Stage Groupings in the Eighth Edition of the TNM Classification of Lung Cancer.IASLC 肺癌分期项目：第八版肺癌 TNM 分类中 TNM 分期分组修订的外部验证。
J Thorac Oncol. 2017 Jul;12(7):1109-1121. doi: 10.1016/j.jtho.2017.04.011. Epub 2017 Apr 28.
4
The effectiveness of mediastinal lymph node evaluation in a patient with ground glass opacity tumor.磨玻璃影结节患者纵隔淋巴结评估的有效性
J Thorac Dis. 2016 Sep;8(9):2617-2625. doi: 10.21037/jtd.2016.08.75.
5
The IASLC Mesothelioma Staging Project: Proposals for Revisions of the N Descriptors in the Forthcoming Eighth Edition of the TNM Classification for Pleural Mesothelioma.国际肺癌研究协会间皮瘤分期项目：即将发布的第八版胸膜间皮瘤 TNM 分类中 N 描述符修订建议。
J Thorac Oncol. 2016 Dec;11(12):2100-2111. doi: 10.1016/j.jtho.2016.09.121. Epub 2016 Sep 26.
6
Lobe-Specific Lymph Node Dissection as a Standard Procedure in Surgery for Non-Small Cell Lung Cancer: A Propensity Score Matching Study.肺叶特异性淋巴结清扫术作为非小细胞肺癌手术的标准程序：一项倾向评分匹配研究。
J Thorac Oncol. 2017 Jan;12(1):85-93. doi: 10.1016/j.jtho.2016.08.127. Epub 2016 Aug 20.
7
Does Lymph Node Count Influence Survival in Surgically Resected Non-Small Cell Lung Cancer?淋巴结数量对手术切除的非小细胞肺癌患者的生存率有影响吗？
Ann Thorac Surg. 2017 Jan;103(1):226-235. doi: 10.1016/j.athoracsur.2016.05.018. Epub 2016 Jul 26.
8
Cancer treatment and survivorship statistics, 2016.癌症治疗和生存统计，2016 年。
CA Cancer J Clin. 2016 Jul;66(4):271-89. doi: 10.3322/caac.21349. Epub 2016 Jun 2.
9
Lymphadenectomy for clinical early-stage non-small-cell lung cancer: a systematic review and meta-analysis.临床早期非小细胞肺癌的淋巴结清扫术：一项系统评价和荟萃分析
Eur J Cardiothorac Surg. 2016 Oct;50(4):597-604. doi: 10.1093/ejcts/ezw083. Epub 2016 Apr 22.
10
Clinicopathologic Factors Associated With Occult Lymph Node Metastasis in Patients With Clinically Diagnosed N0 Lung Adenocarcinoma.临床诊断为N0期肺腺癌患者隐匿性淋巴结转移相关的临床病理因素
Ann Thorac Surg. 2016 May;101(5):1928-35. doi: 10.1016/j.athoracsur.2015.11.056. Epub 2016 Mar 5.
Zotero 插件