In 1003 patients suffering from bronchial carcinoma the authors examined the type of lymph node spread. Radical lymph nodeectomy takes 30 to 60 minutes more without increasing the survival time, only the rate of regional metastases is diminished. The fate of the patient is dependent on the spread of haemotogenous micrometastases. According to the authors opinion simple extirpation of the regional lymph nodes as an en-bloc-procedure will be sufficient.
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