[Changes in mediastinal lymph node sampling practices].

IF 0.5 4区医学 Q4 RESPIRATORY SYSTEM

Revue des maladies respiratoires Pub Date : 2024-08-22 DOI:10.1016/j.rmr.2024.06.012

V Hubaud, H De Lesquen, J-P Avaro

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引用次数: 0

Abstract

Introduction: While mediastinoscopy is considered the gold standard for mediastinal node sampling, it is to some extent being superseded by endobronchial ultrasound. The objective of this study was to evaluate the different practices in our center regarding mediastinal lymph node sampling in lung cancer patients.

Methods: Data were collected from patients having undergone mediastinal lymph node sampling by video-assisted-mediastinoscopy (VM) or by endobronchial ultrasound (EBUS) in our center between August 2020 and July 2023. The modalities of the two procedures and their diagnostic accuracy were analyzed, as was their evolution over time.

Results: The 362 patients comprised 217 who were sampled by EBUS and 145 by VM. Overall, the procedures became more frequent, with EBUS tending to supersede VM. The number of harvested lymph nodes gradually grew, and less unforeseen lymph node invasion and upstaging occurred.

Conclusion: The arrival in our center of endobronchial ultrasound yielded an overall increase of lymph node sampling despite a decrease in the number of mediastinoscopy procedures performed. Reinforced compliance with guidelines is needed to improve the diagnostic accuracy of these techniques and to better ensure quality of care.

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[纵隔淋巴结取样方法的变化]。

简介：纵隔镜检查被认为是纵隔淋巴结取样的金标准，但在一定程度上已被支气管内超声所取代。本研究旨在评估本中心在肺癌患者纵隔淋巴结取样方面的不同做法：收集2020年8月至2023年7月期间本中心通过视频辅助纵隔镜（VM）或支气管内超声（EBUS）进行纵隔淋巴结取样的患者数据。我们对这两种手术的方式及其诊断准确性进行了分析，并分析了它们随时间推移而发生的变化：362例患者中，217例采用EBUS取样，145例采用VM取样。总体而言，这两种手术的频率越来越高，EBUS 有取代 VM 的趋势。摘取的淋巴结数量逐渐增加，发生意外淋巴结侵犯和上移的情况也越来越少：结论：尽管纵隔镜检查的数量有所减少，但我们中心采用支气管内超声检查后，淋巴结取样的数量总体上有所增加。为了提高这些技术的诊断准确性，更好地确保医疗质量，需要加强对指南的遵守。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Revue des maladies respiratoires 医学-呼吸系统

CiteScore

1.10

自引率

16.70%

发文量

168

审稿时长

4-8 weeks

期刊介绍： La Revue des Maladies Respiratoires est l''organe officiel d''expression scientifique de la Société de Pneumologie de Langue Française (SPLF). Il s''agit d''un média professionnel francophone, à vocation internationale et accessible ici. La Revue des Maladies Respiratoires est un outil de formation professionnelle post-universitaire pour l''ensemble de la communauté pneumologique francophone. Elle publie sur son site différentes variétés d''articles scientifiques concernant la Pneumologie : - Editoriaux, - Articles originaux, - Revues générales, - Articles de synthèses, - Recommandations d''experts et textes de consensus, - Séries thématiques, - Cas cliniques, - Articles « images et diagnostics », - Fiches techniques, - Lettres à la rédaction.

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