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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 leading cause of cancer deaths in the world and is also the most malignant tumor with the highest morbidity and mortality in China. About 80.0% of them are non-small cell lung carcinoma (NSCLC). Surgical treatment is the primary treatment for early stage NSCLC. Video-assisted thoracic surgery (VATS) has gradually become the first choice for early-stage NSCLC because of its minimally invasive features. However, the thoroughness of mediastinal lymph node dissection for early NSCLC lymph node dissection and VATS surgery remains controversial. This article reviews these two aspects.