The Journal of Thoracic and Cardiovascular Surgery
Volume 139, Issue 1 , Pages 38-42 , January 2010

Required area of lymph node sampling during segmentectomy for clinical stage IA non–small cell lung cancer

  • Hiroaki Nomori, MD, PhD

      Affiliations

    • Department of Thoracic Surgery, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan
    • Division of General Thoracic Surgery, Department of Surgery, School of Medicine, Keio University, Tokyo, Japan
    • Corresponding Author InformationAddress for reprints: Hiroaki Nomori, MD, PhD, Division of General Thoracic Surgery, Department of Surgery, School of Medicine, Keio University, 35 Shinanomachi, Shinjuku-ku, 160-8582, Tokyo, Japan.
    • ,
  • Yasuomi Ohba, MD

      Affiliations

    • Department of Thoracic Surgery, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan
    • ,
  • Hidekatsu Shibata, MD

      Affiliations

    • Department of Thoracic Surgery, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan
    • ,
  • Kenji Shiraishi, MD, PhD

      Affiliations

    • Department of Thoracic Surgery, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan
    • ,
  • Takeshi Mori, MD, PhD

      Affiliations

    • Department of Thoracic Surgery, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan
    • ,
  • Shinya Shiraishi, MD, PhD

      Affiliations

    • Department of Diagnostic Imaging, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan

Received 24 January 2009 ,Revised 11 March 2009 ,Accepted 1 April 2009.

References 

  1. Ginsberg RH, Rubinstein LV. Randomized trial of lobectomy versus limited resection for T1N0 non-small cell lung cancer. Lung Cancer Study Group. Ann Thorac Surg. 1995;60:615–623
  2. Tsubota N, Ayabe K, Doi O, et al. Ongoing prospective study of segmentectomy for small lung tumors. Ann Thorac Surg. 1998;66:1787–1790
  3. Okada M, Yoshikawa K, Hatta T, Tsubota N. Is segmentectomy with lymph node assessment an alternative to lobectomy for non-small cell lung cancer of 2 cm or smaller?. Ann Thorac Surg. 2001;71:956–961
  4. Yoshikawa K, Tsubota N, Kodama K, et al. Prospective study of extended segmentectomy for small lung tumors: the final report. Ann Thorac Surg. 2002;73:1055–1059
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  7. Nomori H, Ikeda K, Mori T, et al. Sentinel node navigation segmentectomy for c-T1N0M0 non-small cell lung cancer. J Thorac Cardiovasc Surg. 2007;133:780–785
  8. Nomori H, Horio H, Naruke T, Orikasa H, Yamazaki K, Suemasu K. Use of technetium-99m tin colloid for sentinel lymph node identification in non-small cell lung cancer. J Thorac Cardiovasc Surg. 2002;124:486–492
  9. Nomori H, Ohba Y, Yoshimoto K, et al. Difference of sentinel lymph node identification between tin colloid and phytate in patients with non-small cell lung cancer. Ann Thorac Surg. 2009;87:906–910
  10. Naruke T, Suemasu K, Ishikawa S. Lymph node mapping and curability at various levels of metastasis in resected lung cancer. J Thorac Cardiovasc Surg. 1978;76:832–839
  11. In:  Sobin LH,  Wittekind Ch editor. (UICC) TNM classification of malignant tumors. 6th ed. New York: Wiley; 2002;p. 99–103
  12. Nomori H, Watanabe K, Ohtsuka T, Naruke T, Suemasu K. In vivo identification of sentinel nodes for clinical stage I non-small cell lung cancer for abbreviation of mediastinal lymph node dissection. Lung Cancer. 2004;46:49–55
  13. Nomori H, Ikeda K, Mori T, et al. Sentinel node identification in clinical stage Ia non-small cell lung cancer by a combined single photon emission computed tomography/computed tomography system. J Thorac Cardiovasc Surg. 2007;134:182–187
  14. Yamanaka A, Hirai T, Fujimoto T, Ohtake Y, Konishi F. Analyses of segmental lymph node metastases and intrapulmonary metastases of small lung cancer. Ann Thorac Surg. 2000;70:1624–1628
  15. Naruke T, Tsuchiya R, Kondo H, Nakayama H, Asamura H. Lymph node sampling in lung cancer: how should it be done?. Eur J Cardiothorac Surg. 1999;16(suppl):S17–S24
  16. Okada M, Tsubota N, Yoshimura M, Miyamoto Y, Matsuoka H. Prognosis of completely resected pN2 non-small cell lung carcinomas: what is the significant node that affects survival?. J Thorac Cardiovasc Surg. 1999;118:270–275
  17. Riquet M, Hidden G, Debesse B. Direct lymphatic drainage of lung segments to the mediastinal nodes. J Thorac Cardiovasc Surg. 1989;97:623–632
  18. Asamura H, Nakayama H, Kondo H, Tsuchiya R, Naruke T. Lobe-specific extent of systemic lymph node dissection for non-small cell lung carcinomas according to a retrospective study of metastases and prognosis. J Thorac Cardiovasc Surg. 1999;117:1102–1111

 Supported in part by a Grant-in-Aid from the Ministry of Health, Labor, and Welfare of Japan.

PII: S0022-5223(09)00522-4

doi: 10.1016/j.jtcvs.2009.04.003

The Journal of Thoracic and Cardiovascular Surgery
Volume 139, Issue 1 , Pages 38-42 , January 2010

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