Chinese Journal of Clinical Anatomy ›› 2021, Vol. 39 ›› Issue (2): 211-215.doi: 10.13418/j.issn.1001-165x.2021.02.018

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Clinical application of right posterior mediastinal pleura suspension in the cleaning of group 7 lymph nodes

Bao Feng1,  Wu Zongyang1,  Yuan Yunfeng2   

  1. 1.Department of Thoracic Surgery,Anhui Provincial Armed Police Corps Hospital, Hefei 230000,China; 2. Department of Thoracic Surgery,Zhongshan Hospital, Fudan University, Shanghai 200032, China
  • Received:2020-03-31 Online:2021-03-25 Published:2021-04-08

Abstract: Objective To analyze the effect of right posterior mediastinal pleura suspension on lymph node dissection, operation time and related complications in group 7 of minimally invasive lung cancer operation. Methods A retrospective analysis of 58 patients with right lung cancer treated by thoracoscopic surgery in our hospital from March 2018 to December 2019, among them, 31 patients were treated with right posterior mediastinal pleura suspension to clean the group 7 lymph nodes, and 27 patients were treated with conventional methods to clean the group 7 lymph nodes. Results Compared with the routine method group, the number of lymph nodes in the 7th group of mediastinal pleural suspension group increased significantly [(3.35 ± 0.20)piece vs. (2.46±0.47)piece]. There was no significant difference in the time of lymph node dissection [(9.25±3.85) min vs. (9.71±3.21) min], and no significant difference in the related complications, such as air duct injury, esophageal injury and intraoperative drainage. Conclusions In the thoracoscopic operation of right lung cancer, the method of posterior mediastinal pleura suspension can clean the group 7 lymph nodes safely and thoroughly without increasing the operation time and perioperative complications.

Key words: Non-small cell lung cancer (NSCLC),  Right posterior mediastinal pleura suspension,  The group 7 lymph node dissection,  Clinical application

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