Table 4.
| Intraoperative Measures | |||
|---|---|---|---|
| Category | Quality Metric | Recommended By | Evidence grade |
| Anatomic Resection | Pneumonectomy is ill-advised after neoadjuvant therapy | NCCN | 2A |
| Mediastinal Assessment if confirm suspected N2 disease | Abort operation | ACCP | 2C |
| Mediastinal Assessment if find occult N2 disease | If complete resection of primary tumor is feasible, perform mediastinal lymph node dissection or systematic sampling | ACCP | 2C |
American College of Chest Physicians (ACCP), National Comprehensive Cancer Network (NCCN)
Data from NCCN Clinical Practice Guidelines in Oncology: Non-Small Cell Lung Cancer (National Comprehensive Cancer Network). 2017. https://www.nccn.org/professionals/physician_gls/pdf/nscl.pdf. Accessed March 29, 2017; and Ramnath N, Dilling TJ, Harris LJ, et al. Treatment of Stage III Non-small Cell Lung Cancer. Chest. 2013;143(5):e314S–e340S. doi:10.1378/chest.12-2360.