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Chirurgisch-invasive Diagnostik in der Thoraxchirurgie

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Thoraxchirurgie

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Zusammenfassung

Ein wesentlicher Bestandteil der Thoraxonkologie ist die korrekte Diagnosesicherung sowie die präzise Stadieneinteilung der zugrunde liegenden Tumorerkrankung. Dabei stehen verschiedenste anatomische und metabolische bildgebende Verfahren sowie endoskopische und minimalinvasiv-chirurgische Prozeduren zur Verfügung, welche wohlbedacht und in sinnvoll sequenziellem Arrangement mit einem zunehmenden Maße an Invasivität zur Anwendung kommen sollten. Ein adäquater Algorithmus zum präoperativen mediastinalen Staging sieht daher in der Reihenfolge der Untersuchungsmethoden häufig endosonografische Techniken (EUS-FNA, EBUS-FNA) vor dem chirurgisch-invasiven Staging mittels videoassistierter mediastinoskopischer Lymphadenektomie (VAMLA) vor. Da das Grundprinzip der systematischen Lymphknotendissektion mittels VAMLA in der kompletten Entfernung aller potenziell involvierten Lymphknoten sowie des sie umgebenden lymphatischen Fettgewebes besteht und somit der feingewebliche Untersuchungsbefund den höchsten Genauigkeitsgrad aller Untersuchungsmethoden besitzt, ist die VAMLA unverzichtbarer Goldstandard in der Thoraxonkologie.

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Authors and Affiliations

  1. Klinik für Thoraxchirurgie, Katholisches Klinikum Koblenz-Montabaur, Koblenz, Deutschland

    Marc Hartert & Martin Hürtgen

Authors
  1. Marc Hartert
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  2. Martin Hürtgen
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Correspondence to Marc Hartert .

Editor information

Editors and Affiliations

  1. Sektion Thoraxchirurgie, Klinikum rechts der Isar der Technischen Universität München, München, Deutschland

    Hans Hoffmann

  2. Klinik für Thoraxchirurgie, Florence-Nightingale-Krankenhaus, Düsseldorf, Deutschland

    Corinna Ludwig

  3. Klinik für Thoraxchirurgie Medizinische Fakultät, Universitätsklinikum Freiburg, Freiburg, Deutschland

    Bernward Passlick

Section Editor information

  1. Florence Nightingale Krankenhaus, Düsseldorf, Deutschland

    Corinna Ludwig

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Hartert, M., Hürtgen, M. (2023). Chirurgisch-invasive Diagnostik in der Thoraxchirurgie. In: Hoffmann, H., Ludwig, C., Passlick, B. (eds) Thoraxchirurgie. Springer Reference Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-59146-8_10

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  • DOI: https://doi.org/10.1007/978-3-662-59146-8_10

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  • Print ISBN: 978-3-662-59145-1

  • Online ISBN: 978-3-662-59146-8

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