title: [The significance and the indication to dissect para-aortic lymph nodes in esophageal and cardiac cancers].
abstract: Recently, now that the para-aortic lymph nodes have become a focus of attention, there has been a tendency to dissect the para-aortic lymph nodes of the abdomen for cases of esophago-cardiac cancers. One of the reasons why R4 procedures are being performed is due to the development of a clear analysis of the lymphatic pathways. In view of the importance of para-aortic lymph nodes, particularly focusing on the lymph nodes adjacent to left renal vein, we also are performing extended systemic lymph node dissections in certain cases. In determining the indication, a preoperative diagnosis by echogram of the neck region is important, and also a diagnosis of the para-aortic region as well. The significant benefit of para-aortic dissection is to be able to carry out a complete R3 procedure.
authors.affiliation: 1st Dept. of Surgery, Kagoshima Univ. School of Med.
authors.forename: T
authors.initials: T
authors.lastname: Aikou
authors.forename: H
authors.initials: H
authors.lastname: Yoshinaka
authors.forename: H
authors.initials: H
authors.lastname: Shimazu
mesh_terms: D000368:Aged; D001011:Aorta; D002299:Cardia; D004938:Esophageal Neoplasms / Q000601:surgery*; D005260:Female; D006801:Humans; D008197:Lymph Node Excision; D008875:Middle Aged; D013274:Stomach Neoplasms / Q000601:surgery*