%0 Journal Article
%T Dissection of the left paratracheal area is frequently missed during left side non-small cell lung cancer surgery
%A Gonzalo Varela
%A Marcelo F. Jim¨¦nez
%J SCIE-indexed Journal
%D 2019
%R 10.21037/jtd.2019.03.15
%X In a paper recently published in the Journal of Thoracic Disease (1), the authors report their experience in intraoperative mediastinal staging in patients with left side non-small cell lung cancer (NSCLC) tumours classified as clinical stage I. The authors present a nice video showing how to dissect the left paratracheal areas after sectioning the ligamentum arteriosum via video-assisted thoracoscopic surgery (VATS), with very low morbidity and excellent 5-year survival (over 80%) in pN2 cases. In the authors¡¯ series, the overall rate of unexpected N2 disease is 36% (27/75); of those, 10 cases (13.3%) were found to have positive lymph nodes on what the authors call ¡°zone 2¡±, including 2L, 4L and 7 areas
%U http://jtd.amegroups.com/article/view/27571/html