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Left mediastinal node dissection after arterial ligament transection via video-assisted thoracoscopic surgery for potentially advanced stage I non-small cell lung cancer
Author(s) -
Tomoki Shibano,
Hiroyoshi Tsubochi,
Kenji Tetsuka,
Shinichi Yamamoto,
Yoshihiko Kanai,
Kentaro Minegishi,
Shunsuke Endo
Publication year - 2018
Publication title -
journal of thoracic disease
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.682
H-Index - 60
eISSN - 2077-6624
pISSN - 2072-1439
DOI - 10.21037/jtd.2018.11.86
Subject(s) - medicine , dissection (medical) , mediastinal lymph node , lymph node , lung cancer , stage (stratigraphy) , surgery , cardiothoracic surgery , lung cancer surgery , radiology , cancer , metastasis , paleontology , biology
Left mediastinal node dissection during lung cancer surgery can be difficult because paratracheal and subcarinal lymph nodes are concealed by mediastinal structures. Arterial ligament transection (ALT) offers a wide surgical view of concealed mediastinal spaces, thus enabling extended en bloc lymph node dissection (LND). We analyzed surgical outcomes of patients who underwent extended LND after ALT via video-assisted thoracoscopic surgery (VATS) for potentially node-positive clinical stage I non-small cell lung cancer (NSCLC).

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