Akciğer kanser cerrahisinde onkolojik prensipler

Year 2021, Volume: 12 Issue: 2, 223 - 231, 30.06.2021

Murat Öncel , Aydın Şanlı Hüseyin Yıldıran

https://doi.org/10.18663/tjcl.445743

Abstract

Küçük hücre dışı akciğer kanserlerinde cerrahi başarı, iyi bir anatomik rezeksiyon sonrası makroskobik ve mikroskobik olarak temiz gelen cerrahi sınır olması ve lenf nodlarında yayılım görülmemesidir. Cerrahi, akciğer kanserlerinde özellikle erken evrelerde en büyük tedavi şansını oluştururken tümör ve komşu dokuların birlikte anblok rezeksiyonları, cerrahi sınırda tümör dokusunun kalmayışı en uzun süreli sağkalımı sağlamaktadır. Küçük hücreli dışı akciğer kanserli hastaların yaklaşık %70’inde kullanılan lobektomi standart bir anatomik rezeksiyondur. Uygulanan teknik pulmoner venlerin, arterin ve bronşun ayrı ayrı serbestleştirilmesi ve ardından mutlak bir şekilde hiler lenf nodları ve lenfatiklerin dikkatli diseksiyonudur. Akciğer rezeksiyonu geçirecek bütün hastalar için rezeksiyon öncesi evreleme; hastalığın seyri ve onkolojik girişimlerin algoritması için mutlaka yapılmalıdır.

Keywords

Akciğer kanseri, cerrahi metodlar, , mediastinoskopi

Oncological principles for the lung cancer surgery

Abstract

In non-small cell lung cancer, after resection they were not spread of macroscopic and microscopic if you want anatomic success as a good clean surgical margins and lymph nodes .In lung cancer surgery, while providing the greatest chance of total cure, tumor which they were not surrounding tissue, especially along the anblok resection, It will provide the long term living because of the resection margin was staying the clear from the cancer mass. Lobectomy is being used approximately 70% of patients with non small cell when used as a standard anatomical resection, Here in operative technique of the resection pulmonary veins, arteries and bronchi should carefully divised from other tissue , then the individual division is the hilar lymph nodes and lymphatics were resected by careful dissections. All patients if the undergoing lung resection, they should be detected pre-staging progression entries by the algorithm.

Keywords

Lung cancer, surgical methods, mediastinoscopy

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