1. VAMLA (Video assisted mediastinal lymphadenectomy)
Gunda Leschber
Department of Thoracic Surgery
ELK Berlin Chest Hospital, Berlin, Germany

2. No disclosures
VAMLA AATS 25 april 2015

3. VAMLA by Hürtgen Video-assisted mediastinal lymphadenectomy
Dissection of all mediastinal structures:
trachea, main bronchi, pulmonary artery, vena azygos, superior vena cava, esophagus
Complete lymphadenectomy
en bloc resection of LN 7, 10 R+L, 4 R+L, (LN 8)
Hürtgen M et al. Eur J Cardiothorac Surg 2002;21:348-51
VAMLA AATS 25 april 2015

7. VAMLA - Indication Exact mediastinal staging
(two-step-procedure: no frozen section in Germany, mediastinoscopy is an additional operation)
„VAMLA will constitute a new reference standard for preresection staging of NSCLC“ *
Prior to VATS lobectomy**/***
Complete removal of isolated mediastinal lymph node metastasis
*Yendamuri S and Demmy TL. J Thorac Cardiovasc Surg 2012; 144: S14-7
**Leschber G et al. Eur J Cardiothoracic Surg 2003;24: 192-5
***Yoo DG et al. Eur J Cardiothorac Surg 2011;40:1483-6
VAMLA AATS 25 april 2015