Surgery for lung cancer invading the mediastinum

被引：9
作者：
Al-Ayoubi, Adnan M. [1 ]
Flores, Raja M. [1 ]
机构：
[1] Icahn Sch Med Mt Sinai, Mt Sinai Hlth Syst, Dept Thorac Surg, One Gustave L Levy Pl,Box 1023, New York, NY 10029 USA
来源：
JOURNAL OF THORACIC DISEASE | 2016年 / 8卷
关键词：
Mediastinum; lung cancer; extended resection; superior vena cava (SVC); atria; pulmonary artery (PA); aorta; esophagus; SUPERIOR VENA-CAVA; LEFT ATRIAL RESECTION; CARDIOPULMONARY BYPASS; EXTENDED RESECTION; SURGICAL RESECTION; GREAT-VESSELS; SINGLE-CENTER; EXPERIENCE; MANAGEMENT; CARCINOMA;
D O I：
10.21037/jtd.2016.06.71
中图分类号：
R56 [呼吸系及胸部疾病];
学科分类号：
摘要：
Lung cancer infiltrating the mediastinum is a subset of locally advanced lung tumors for which surgery is not routinely offered. Radical operations that involve removal of adjacent mediastinal structures to obtain free margins may provide a realistic cure. Such extended resections are typically reserved to highly motivated patients seeking more aggressive management, and are only offered following complete evaluation on a case-by-case basis. Positive prognosis depends on complete R0 resection and lack of mediastinal nodal metastases. Careful and exhaustive preoperative planning as well as surgical expertise cannot be overemphasized for successful surgical outcomes. Here we provide a brief summary of the literature as well as our own experience managing these rare and sometimes challenging surgeries.
引用
收藏
页码：S889 / S894
页数：6
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