Lymph node dissection in surgical treatment of esophageal neoplasms

Simon Law; John Wong

doi:10.1016/j.soc.2006.10.008

Lymph node dissection in surgical treatment of esophageal neoplasms

Surg Oncol Clin N Am. 2007 Jan;16(1):115-31. doi: 10.1016/j.soc.2006.10.008.

Authors

Simon Law¹, John Wong

Affiliation

¹ Division of Esophageal Surgery, Department of Surgery, Li Ka Shing Faculty of Medicine, University of Hong Kong Medical Centre, Queen Mary Hospital, 102 Pokfulam Road, Hong Kong, China. slaw@hku.hk

PMID: 17336240
DOI: 10.1016/j.soc.2006.10.008

Abstract

The optimal lymphadenectomy for esophageal cancer remains controversial. The choice of surgical access determines to a great extent the type of lymphadenectomy possible. En bloc resections and three-field lymphadenectomy are concepts pioneered in the West and East, respectively; both should be performed in specialized centers because such extended lymph node dissection has substantial morbidity rates. Recent focus in research is on refining the indications for these procedures. Patient management strategies should be individualized.

Publication types

Review

MeSH terms

Esophageal Neoplasms / mortality
Esophageal Neoplasms / pathology*
Esophageal Neoplasms / surgery*
Esophagectomy / methods*
Humans
Lymph Node Excision / methods*
Lymphatic Metastasis
Minimally Invasive Surgical Procedures
Multivariate Analysis
Neoadjuvant Therapy
Prognosis