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[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.

DOI:10.3779/j.issn.1009-3419.2018.03.10
PMID:29587935
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5973022/
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。

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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.