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Chirurg
; 90(12): 966-973, 2019 Dec.
Article
in German
| MEDLINE
| ID: mdl-31549196
ABSTRACT
Systematic mediastinal, hilar and interlobar lymph node dissection is required in the S3 guidelines for the treatment of operable lung cancer. The lymph node involvement is considered one of the key prognostic factors. The type of lymph node resection is repeatedly the subject of controversially discussion. Lymph node dissection is essential for staging, prognosis, survival and recurrence rate. It should be standardized as a compartmental dissection with en bloc resection of lymph nodes including surrounding fat and connective tissue. Thus, exact knowledge of the anatomy of the thoracic organs with their peculiarities and high anatomical variability is necessary.
Subject(s)
Lung Neoplasms , Lymph Node Excision , Lymph Nodes/anatomy & histology , Humans , Lung Neoplasms/surgery , Lymph Node Excision/methods , Lymphatic Metastasis , Neoplasm Recurrence, Local/prevention & control , Neoplasm Staging , Prognosis
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