Table 5. Protocols for lobe-specific mediastinal lymphadenectomy for SPNs of NSCLC.
Dissection field | Tumor locations |
||||
---|---|---|---|---|---|
RUL | LUL | RLL | LLL | RML | |
Superior mediastinum^ | ◎ | ◎ | ○c | ○c | ◎ |
Inferior mediastinum | ○a | ○b | ◎ | ◎ | ◎ |
◎, complete regional lymphadenectomy is warranted; ○, lymph nodes dissection could be omitted considerably; a, when #2,4 shows negative in intraoperative frozen section; b, when #10,11 shows negative in intraoperative frozen section; c, when #10,11 and #7 show negative in intraoperative frozen section; ^, #1-4 in RUL, #4-7 in LUL. SPNs, solitary pulmonary nodules; NSCLC, non-small cell lung cancer; RUL, right upper lung; LUL, left upper lung; RLL, right lower lung; LLL, left lower lung; RML, right middle lung.