Mediastinální lymfadenektomie v chirurgii plicních metastáz

Title in English Mediastinal lymphadenectomy in surgery of pulmonary metastasis


Year of publication 2009
MU Faculty or unit

Faculty of Medicine

Description Object: The effect of lymphadenectomy in pulmonary metastasectomy is unceratain. Good incication and right radicality of resection are todays surgery possibilities to manage the best patient survival. Next possibility is performace of systematic mediastinal lymphdenecomy for currative effect and increasing of staging quality for indication of adjuvant therapy by metatatic lymphnode involvement. Method: The answer about performace of mediastinal lyphadenectomy and its kind was seeked by authors in retrospective study in years1999-2008. Results: Hundered and six patient udervent pulmonary metastasectomy, 34% patients were of sarcomatous origin.Mediastinal lymhadenectomy was made in 31% patients.There were found the lyphnode involvement in five cases. Conclusion: The group of own patiens is non homogenous for exact conslusion of impact mediastinal lymphadenectomy on survival after pulmonary metastasectomy. The comparison of patient survival with diferent kind of lymphadenectomy isnt acceptable because sampling of lymphonodes may be false negative. For exact comparison of mediastinal lymphadenectomy importance is necessary to do systematic mediastinal ymphadenectomy in prospective multicentric study.
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