What are the oncologic principles of mediastinal lymphadenectomy?

Updated: Feb 16, 2021
  • Author: R James Koness, MD, FACS; Chief Editor: Erik D Schraga, MD  more...
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Answer

Complete mediastinal lymph node dissection techniques have been described by Naruke [17]  and Martini. [18]  They should be performed in a standardized manner and are not dependent on the lobar location of the primary tumor.

The basic oncologic principles of lung cancer surgery determine that en-bloc dissection of the mediastinum and hilum should be carried out with resection of the lobe or lung, without interruption of lymphatic channels. The order of the operative procedure should be based on operative findings and changed as necessary to ensure that an en-bloc resection is completed.


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