Mediastinal Lymphadenectomy in Surgery of Pulmonary Metastasis

Česká verzia

Authors: J. Doležel; L. Veverková ; V. Jedlička; I. Čapov; M. Szkorupa ¹; J. Vodička ²
Authors place of work: I. chirurgická klinika FN u sv. Anny v Brně, přednosta: prof. MUDr. I. Čapov, CSc. ; I. chirurgická klinika LF UP a FN Olomouc, přednosta: doc. MUDr. Čestmír Neoral, CSc. ¹; Chirurgická klinika FN v Plzni, přednosta: prof. MUDr. Vladislav Třeška, DrSc. ²
Published in the journal: Rozhl. Chir., 2009, roč. 88, č. 5, s. 259-261.
Category: Monothematic special - Original

Summary

The effect of lymphadenectomy in pulmonary metastasectomy is unceratain. Good indication and right radicality of resection are todays surgery possibilities to manage the best patient survival. Next possibility is performance of systematic mediastinal lymphdenecomy for currative effect and increasing of staging quality for indication of adjuvant therapy by metatatic lymphnode involvement. The answer about performance of mediastinal lyphadenectomy and its kind was seeked by authors in retrospective study in years1999–2008. Hundred and six patient undervent pulmonary metastasectomy, 34% patients were of sarcomatous origin. Mediastinal lymhadenectomy was made in 31% patients. There were found the lyphnode involvement in five cases. The group of own patiens is non homogenous for exact conclusion of impact mediastinal lymphadenectomy on survival after pulmonary metastasectomy. The comparison of patient survival with diferent kind of lymphadenectomy isn’t acceptable because sampling of lymphonodes may be false negative.

For exact comparison of mediastinal lymphadenectomy importance is necessary to do systematic mediastinal lymphadenectomy in prospective multicentric study.

Key words:
lung – metatasis – lymphadenectomy

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