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Kirurgija (OP (N2 (MS 20 (provjera N2 metode), OP - data (2 RCS neg), OP…
Kirurgija
OP
operabilni
3 kirurške opcije
T1N0 LR nakon W/lobektomije
kapacitet
2L-pneumektomia
1.5L
lobektomia
3 opcije
https://www.google.ba/search?q=surgical+technique+in+lung+cancer&source=lnms&tbm=isch&sa=X&ved=0ahUKEwjm_uX9u-XeAhVIBywKHWXQBLAQ_AUIDigB&biw=1920&bih=969#imgrc=veVllIlS0ZqBuM
:
2 primarni %
segmenmtektomija
nisu kandidati za lobektomiju
T<2cm
NCCN, MS 19
LČ disekcija
Z0030 uzorak vs disekacija=
https://www.google.ba/search?q=ACOSOG+Z+0030&source=lnms&tbm=isch&sa=X&ved=0ahUKEwjY9KjBvOXeAhWD1iwKHWHDDuMQ_AUIDigB&biw=1920&bih=969#imgrc=yffreTGtm6uJiM
:
N2
MS 20
provjera N2 metode
OP - data
2 RCS neg
OP konsenzus
neg medijastinalni LČ; torakoskopski 1 poz LČ<3cm
N2 NCCN članovi -50% preo KRT, 50% preop KT
PHD + multipli LČ >3 cm-KRT
VATS (torakoskopska lobektomija)
https://www.google.ba/search?q=vats+lung+cancer&source=lnms&tbm=isch&sa=X&ved=0ahUKEwjHg-TbvuXeAhXOKiwKHRrWBfYQ_AUIDigB&biw=1920&bih=969#imgrc=lcZwwJyH3aSlJM
:
odlična, MS 21