Current trends in extended lymph node dissection for esophageal carcinoma.
Extended lymph node dissection helps increase the curativeness of resection, the accuracy of surgical-pathological staging, and the prognosis of thoracic esophageal carcinoma. However, it is also associated with significantly increased surgical morbidity and has noticeable negative effects on the quality of life after surgery. Current trends for selective lymph node dissection based on clinical evidence may be helpful in reducing surgical risks while assuring the completeness of resection.
Fang
Wen-Tao
WT
Department of Thoracic Surgery, Shanghai Chest Hospital, Jiaotong University Medical School, 241 Huaihai Road West, Shanghai, 200030, China. vwtfang@hotmail.com.
Chen
Wen-Hu
WH
D002277:Carcinoma / Q000556:secondary / Q000601:surgery*; D004938:Esophageal Neoplasms / Q000556:secondary / Q000601:surgery*; D016629:Esophagectomy / Q000009:adverse effects / Q000639:trends*; D019317:Evidence-Based Medicine; D006801:Humans; D008197:Lymph Node Excision / Q000009:adverse effects / Q000639:trends*; D008207:Lymphatic Metastasis; D009364:Neoplasm Recurrence, Local; D009367:Neoplasm Staging; D011788:Quality of Life; D018570:Risk Assessment; D016896:Treatment Outcome