The impact of dissection of station 9 on survival and the necessity of pulmonary ligament division during upper lobectomy for lung cancer

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dc.authoridYazgan, Serkan / 0000-0001-9763-6336
dc.authorscopusid8970325700
dc.authorscopusid6508319575
dc.authorscopusid57226473466
dc.authorscopusid20334172100
dc.authorwosidGursoy, Soner/AAV-8384-2021
dc.contributor.authorYazgan, Serkan
dc.contributor.authorÜcvet, Ahmet
dc.contributor.authorTürk, Yunus
dc.contributor.authorGürsoy, Soner
dc.date.accessioned2022-02-15T16:58:55Z
dc.date.available2022-02-15T16:58:55Z
dc.date.issued2021
dc.departmentBakırçay Üniversitesien_US
dc.description.abstractBackground We conducted this study to investigate the need for dissection of station 9 lymph nodes during upper lobectomy for non-small-cell lung cancer (NSCLC) and to find out the operative results of inferior pulmonary ligament division. Methods A total of 840 patients who underwent upper lobectomy for NSCLC between January 2007 and June 2020 were evaluated retrospectively. The patients were separated into two groups - those having undergone lymph node dissection of station 9 and inferior pulmonary ligament dissection (Group I) and those who did not (Group II). In these groups, the prognostic value of station 9 lymph nodes and postoperative effects (drainage time, prolonged air leak, dead space and length of hospital stay) of ligament division or preservation were analyzed. Results The number of patients with station 9 lymph node metastasis was only one (0.1%) and that was multi-station pN2 disease. Station 9 lymph nodes were found in 675 (80.4%) patients, while 22 (2.6%) patients had no lymph nodes in the dissected material. In the other 143 (17%) patients, the inferior pulmonary ligament and station 9 were not dissected. While 5-year survival was 64.9% in 697 patients of Group I, it was 61.3% in 143 patients of Group II (p = 0.56). There was no statistically significant difference between the groups in postoperative effects of ligament division or preservation. Conclusions In upper lobectomies, status of station 9 does not have a significant impact on patients' survival and lymph node staging. Additionally, preservation or division of the inferior pulmonary ligament has no significant advantage or disadvantage.en_US
dc.identifier.doi10.1080/00015458.2021.1958189
dc.identifier.issn0001-5458
dc.identifier.pmid34288832en_US
dc.identifier.scopus2-s2.0-85111689199en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.urihttps://doi.org/10.1080/00015458.2021.1958189
dc.identifier.urihttps://hdl.handle.net/20.500.14034/487
dc.identifier.wosWOS:000678975200001en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTaylor & Francis Ltden_US
dc.relation.journalActa Chirurgica Belgicaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectNon-small cell lung canceren_US
dc.subjectupper lobectomyen_US
dc.subjectMLNDen_US
dc.subjectstation 9 lymph nodesen_US
dc.subjectstagingen_US
dc.subjectpulmonary ligamenten_US
dc.subjectProlonged Air Leaken_US
dc.subjectLymph-Node Dissectionen_US
dc.subjectPredictorsen_US
dc.subjectResectionen_US
dc.subjectSurgeryen_US
dc.subjectRisken_US
dc.titleThe impact of dissection of station 9 on survival and the necessity of pulmonary ligament division during upper lobectomy for lung canceren_US
dc.typeArticleen_US

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