Influence of mediastinal lymphatic dissection volume on the course of early postoperative period in patients with non-small cell lung cancer
The aim of the research is to study the effect of mediastinal lymphatic dissection volume on postoperative period in patients with lung cancer. Material and methods. The results of surgical treatment of 180 patients with non-small cell lung cancer were analyzed. 102 patients had systematic mediastinal bilateral lymphatic dissection; minimum volume of systematic mediastinal lymphatic dissection was performed in 78 cases. In postoperative period, blood loss volume, amount of the removed through pleural drainages and the exudation period, number and nature of postoperative complications were evaluated. Results. The results’ analysis revealed statistically insignificant increase in the volume and duration of pleural drainage exudation in the group with systematic bilateral mediastinal lymphatic dissection. When analyzing postoperative complications in the group with systematic bilateral lymphatic dissection, surgical complications developed in 7.8 % in the group with minimal volume of lymphatic dissection in 3.8 % of cases. The overall mortality rate was 2.2 %. Conclusion. It has been shown that implementation of systematic bilateral lymphatic dissection introduces certain peculiarities into postoperative period in patients after surgical treatment of lung cancer, but this does not cause life-threatening complications.