Review article
The Role of Videomediastinoscopy in Staging of Non-Small Cell Lung Cancer
Ivan Bacic
orcid.org/0000-0002-0422-3485
; Zadar General Hospital, Department of Surgery, Zadar, Croatia
Rade Skarica
; Zadar General Hospital, Department of Surgery, Zadar, Croatia
Nina Sulen
; Zadar General Hospital, Department of Anesthesiology and Intensive Care, Zadar, Croatia
Zvonko Zadro
; Karlovac General Hospital, Department of Surgery, Karlovac, Croatia
Natasa Lisica-Sikic
; Zadar General Hospital, Department of Pathology, Zadar, Croatia
Robert Karlo
orcid.org/0000-0002-6860-8915
; Zadar General Hospital, Department of Surgery, Zadar, Croatia
Barbara Petani
orcid.org/0000-0002-1509-755X
; Zadar General Hospital, Department of Anesthesiology and Intensive Care, Zadar, Croatia
Abstract
Lung cancer is the most frequent malignant disease and the leading cause of death from malignant diseases in the world and its incidence is increasing. At the time when diagnosis is established most patients have advanced disease and are not candidates for radical surgical treatment. Patients without distant metastases are subjected to various diagnostic methods to detect metastases in mediastinal lymph nodes that make up the path of lymph drainage from the lungs. The most reliable invasive diagnostic procedures for detecting metastases in mediastinal lymph nodes are videomediastinoscopy and endobronchial ultrasound with transtracheal puncture. In the absence of mediastinal lymph node metastases surgery is the treatment of choice. If mediastinal lymph nodes are positive for metastases multimodal treatment is implemented. At the Department of Thoracic Surgery, Zadar General Hospital, videomediastinoscopy for the staging of primary non-small cell lung cancer has been performed routinely since September 2009.
Keywords
lung cancer, staging of lung cancer, surgical treatment of lung cancer; videomediastinoscopy, EBUS
Hrčak ID:
95018
URI
Publication date:
27.12.2012.
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