Thorac Cardiovasc Surg 2009; 57(6): 372-373
DOI: 10.1055/s-0029-1185366
Case Reports

© Georg Thieme Verlag KG Stuttgart · New York

Objective Identification of the Caudal Border of Station 1 for Lung Cancer Surgery

H. Ichimura1 , S. Kikuchi1 , S. Siotani2
  • 1General Thoracic Surgery, Tsukuba Medical Center Hospital, Tsukuba, Japan
  • 2Radiology, Tsukuba Medical Center Hospital, Tsukuba, Japan
Further Information

Publication History

received Sept. 23, 2008

Publication Date:
25 August 2009 (online)

Abstract

During lung cancer surgery, a lack of appropriate anatomical landmarks makes the determination of lymph node stations arbitrary. With the aim of remedying this situation, we have focused on the confluence of the internal mammary vein (IMV) to the superior vena cava. Preoperative multidetector computed tomography (MDCT) makes it possible to accurately measure the distance between the caudal border of station 1 and the confluence of the IMV. This preoperative measurement makes the determination of station 1 more objective.

References

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  • 3 Sato Y, Miyamoto H, Yamazaki A et al. Prognostic significance of metastasis to the highest mediastinal lymph node in non-small cell lung cancer.  Ann Thorac Surg. 2006;  81 292-297
  • 4 Asamura H, Nakayama H, Kondo H, Tsuchiya R, Naruke T. Lobe-specific extent of systematic lymph node dissection for non-small cell lung carcinomas according to a retrospective study of metastasis and prognosis.  J Thorac Cardiovasc Surg. 1999;  117 1102-1111

Dr. MD, PhD Hideo Ichimura

Tsukuba Medical Center Hospital
General Thoracic Surgery

1-3-1 Amakubo

308-8558 Tsukuba

Japan

Phone: + 81 2 98 51 35 11

Fax: + 81 2 98 58 27 73

Email: ichimura@tmch.or.jp