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Multivariate analysis suggested that the pathological type (OR=0.120, =0.025), station 5 metastasis (OR=18.784, =0.007) and station 10 metastasis (OR=5.233, =0.044) were independent risk factors for 4L metastasis in patients with left non-small cell lung cancer. In patients with left non-small cell lung cancer, station 4L metastasis is not rare and is more likely to occur in patients with lung adenocarcinoma. Dissection of the 4L lymph nodes should be performed in cases with low risk of damages of the adjacent tissues and high risk of s