Abstract
The treatment of lymph nodes has been controversial in the past, but analysis of the highest level of evidence available suggests that in unknown stage or Stage II-IIIA non-small cell carcinoma of the lung, it is associated with a survival benefit (1). Whatever a surgeon’s personal node policy may be for open lobectomy, it should be reflected in the approach to VATS lobectomy. There is no particular extra skill required, only intent. The following videos are intended to demonstrate the basic techniques of clearing the minimum node set as set out in the ACOSOG Z0030 trial protocol (2). Throughout these videos I will be referring to the node stations as specified in the same trial. These are station 2R (upper paratracheal), 4R (lower paratracheal), 7 (subcarinal), 8 (paraoesophageal), 9 (inferior pulmonary), 10L/10R (hilar) and 11L/11R (interlobar).
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