Pneumonectomy CRITICAL ELEMENTS Patient Selection Technical Aspects Avoidance of Intra- and Postoperative Complications 1. PATIENT SELECTION Recommendation: Proper preoperative evaluation with appropriate tests and imaging studies are essential to determine…

Lobectomy CRITICAL ELEMENTS Patient Selection for Lobectomy Patient Selection for Bilobectomy or Other Advanced Lung Resection 1. PATIENT SELECTION FOR LOBECTOMY Recommendation: Lobectomy is the preferred treatment for patients with…

Segmentectomy CRITICAL ELEMENT Patient Selection for Segmentectomy Recommendation: Segmentectomy should be an option in only select node-negative patients and is dependent on being able to achieve an adequate parenchymal margin….

Minimally Invasive and Open Approaches to Mediastinal Nodal Assessment CRITICAL ELEMENT Lymph Node Dissection or Systematic Lymph Node Sampling in the Chest Recommendation: The proper technique enables surgeons to access…

Lung Resection CRITICAL ELEMENTS Surgical Approach Chest Exploration Flexible Bronchoscopy Lung Isolation Mediastinal Exploration for Gross Nodal Disease 1. SURGICAL APPROACH Recommendation: Pulmonary resection can be approached safely through a…

Cervical Mediastinoscopy CRITICAL ELEMENTS Nodal Station Assessment Patient Eligibility Preparing for Complications 1. NODAL STATION ASSESSMENT Recommendation: Cervical mediastinoscopy can be used to evaluate lymph node stations 2R, 2L, 4R,…

Endobronchial Ultrasonography/Endoscopic Ultrasonography CRITICAL ELEMENTS Identification of Lymph Nodes Suspicious for Cancer Metastasis Node Station Assessment Utilizing Endobronchial Ultrasonography/Endoscopic Ultrasonography 1. IDENTIFICATION OF LYMPH NODES SUSPICIOUS FOR CANCER METASTASIS Recommendation:…

Invasive Mediastinal Staging Overview CRITICAL ELEMENTS Confirmation of Imaging Findings Mediastinal Staging for Central Tumors Mediastinal Staging Prior to Treatment Mediastinal Staging at the Time of Lung Resection 1. MEDIASTINAL…

Introduction Lung cancer is the leading cause of cancer-related death in the United States. In 2013, about 226,000 new cases of lung cancer were diagnosed, and about 160,000 people died…

Sentinel Lymphadenectomy CRITICAL ELEMENTS Identification of All Sentinel Nodes Technique for Injecting Localizing Tracer or Dye Preincision Evaluation of Drainage Pattern Node Removal Technique to Limit Seroma Formation 1. IDENTIFICATION…