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Transcervical Extended Mediastinal Lymphadenectomy (TEMLA): The Standard Procedure And Its Variations

M. Zieliński
Published 2014 · Medicine

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Transcervical extended mediastinal lymphadenectomy (TEMLA) introduced by our team in 2004 is a new technique of preoperative staging of non-small cell lung cancer (NSCLC). The aim of TEMLA was to stage with the maximum accuracy and possibly to improve the late results of treatment of NSCLC. The operative technique included a collar incision in the neck, elevation of the sternal manubrium with a special retractor, bilateral visualization of the laryngeal recurrent and vagus nerves, and dissection of all mediastinal nodal stations except for the pulmonary ligament nodes. In this chapter, some important steps facilitating safe and straightforward performance of TEMLA are presented with discussion of the methods of management of intraoperative complications, and some new modifications of the technique of this procedure are presented.
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