早期非小细胞肺癌电视辅助胸腔镜手术淋巴结清扫进展

Progress of lymphadenectomy by video-assisted thoracic surgery for early stage non small cell carcinoma

肺癌是全球范围内癌症死亡的首要原因,也是我国发病率和死亡率最高的恶性肿瘤,其中非小细胞肺癌(non-small cell lung carcinoma,NSCLC)约占80.0%。手术治疗是早期NSCLC的主要治疗手段。电视辅助胸腔镜手术(video-assisted thoracic surgery,VATS)因其微创特点逐渐成为早期NSCLC的首选手术方式。然而,对于早期NSCLC淋巴结清扫方式以及VATS手术对纵隔淋巴结清扫的彻底性仍有争议。本文就这两方面内容进行综述。

Lung cancer is the most important cause for cancer death globally,and it ranks the first position in morbidity and mortality among all malignances in China. non small cell lung cancer（ NSCLC）accounts for approximately 80% of all lung cancinoma. Surgical resection is the major treatment method for early stage NSCLC. Video-assisted thoracic surgery（ VATS） is becoming the preferred surgical procedure for early stage NSCLC,because of it＇s minimally invasive features. However,controversy remains regarding the extent of lymph node dissection and the completeness of the lymphnode dissection by VATS for early stage NSCLC. This article is a brief review concerning this two questions.