Extensive lymph node dissection for thoracic esophageal carcinoma.
Extensive lymph node dissection for thoracic esophageal carcinoma.
复制标题
胸段食管癌广泛淋巴结清扫术。
DOI：
10.1093/dote/5.2.79
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发表时间：
1992
影响因子：
2.6
通讯作者：
K. Hirayama
中科院分区：
文献类型：
--
作者：
T. Nishihira;S. Mori;K. Hirayama
本文介绍了胸段食道癌广泛淋巴清扫术的结果。目前，这种解剖适用于病情符合严格标准的患者。纵隔中、下1/3的淋巴结，包括上腹部的淋巴结，如常规清扫一样，连同上纵隔的左、右气管旁、气管、支气管壁和下腹主动脉淋巴结。对15例广泛夹层和99例常规夹层进行了四年的比较和检查。没有直接的手术死亡记录。接受广泛解剖的患者咳嗽反射恢复明显缓慢，需要进行气管切开术。两组患者出院时心血管和/或肺部并发症发生率及术后生活质量差异无统计学意义。这项回顾评估支持常规的广泛解剖应用。
The outcomes of extensive lymph node dissection for thoracic esophageal carcinoma are described. Such dissection is presently applied in patients whose condition satisfies strict criteria. Lymph nodes of the middle and lower third of the mediastinum, including those in the upper abdomen are dissected as in conventional dissection, together with left and right paratracheal, tracheobronchial and inferior aortic nodes in the upper mediastinum. Fifteen cases subjected to extensive dissection and 99 cases subjected to conventional dissection were compared and examined over a four-year period. No direct surgical deaths were noted. Patients subjected to extensive dissection tended to show markedly slow recovery of the cough reflex and required tracheotomy. There was no difference between the two groups in the occurrence of cardiovascular and/or pulmonary complications at the time of discharge, nor in the postoperative quality of life. This retrospective evaluation supports the routine application of extensive dissection.