Title: Extended three-field(cervical,thoracic and abdominal)lymph node dissection for the racic esophageal carcinoma and its clinical significance
Abstract: Objective To improve radical resection rate and the accuracy of surgical stage for thoracic esophageal carcinoma through extended three-field lymph node dissection.Methods 47 patients with thoracic esophageal carcinoma underwent tumor resection and extended three-field(cervical,thoracic and abdominal) lymph adenectomy.The extent of lymph node dissection included two cervicos.upper -clavicules,total mediastinums and up per abdominal lymph nodes.Results Among 47 cases underwent radical resection,6 cases developed postoperative complications.No case died after operation.Regional lymph node metastasis occurred in 34(34/47.72.3%) cases.The metastasis rates of lymph nodes in cervix,upper-mediastinum,mid-and inferior mediastinum and upper abdominal lymph nodes were 38.3%,53.2%,12.7%respectively.18 cases with tumor were radically resected and correctly staged as N 1,and would have been resected palliative and misdiagnosed as N 0 stage if they had received routine operations.Conclusion Thoracic esophageal carcinomas are prone to have early,extensive or jump lymph node metastasis.Extend three-field lymph node dissection may help increase radical resection rate and the accuracy of surgical stage for thoracic esophageal carcinoma.
Publication Year: 2006
Publication Date: 2006-01-01
Language: en
Type: article
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