MORTALITY AND MORBIDITY RATES, POSTOPERATIVE COURSE, QUALITY-OF-LIFE, AND PROGNOSIS AFTER EXTENDED RADICAL LYMPHADENECTOMY FOR ESOPHAGEAL CANCER - COMPARISON OF 3-FIELD LYMPHADENECTOMY WITH 2-FIELD LYMPHADENECTOMY
MORTALITY AND MORBIDITY RATES, POSTOPERATIVE COURSE, QUALITY-OF-LIFE, AND PROGNOSIS AFTER EXTENDED RADICAL LYMPHADENECTOMY FOR ESOPHAGEAL CANCER - COMPARISON OF 3-FIELD LYMPHADENECTOMY WITH 2-FIELD LYMPHADENECTOMY
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DOI：
10.1097/00000658-199511000-00008
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发表时间：
1995-11-01
影响因子：
9
通讯作者：
MIZUTANI, K
中科院分区：
文献类型：
--
作者：
FUJITA, H;KAKEGAWA, T;MIZUTANI, K
目的评价扩大根治术的疗效食管癌三野淋巴结清扫术与小根治术的比较研究对象和分析方法死亡率和发病率，术后病程，比较了63例接受三野淋巴结清扫术的患者和65例接受二野淋巴结清扫术的患者的生存率。从1986年到1991年在库尔斯克大学医院进行了现场淋巴结清扫。比较1980 ~ 1991年37例三野清扫术和35例两野清扫术患者术后长期生活质量。结果三野清扫术对胸上段或胸中段食管癌淋巴结转移阳性患者的生存率明显高于两野清扫术，死亡率，两种手术的术后病程和生活质量是相同的。结论三野清扫术是上胸或胸中段食管癌的首选，因为它可以提高生存率，可接受的死亡率和发病率，以及良好的术后病程和生活质量。
Purpose The authors evaluated the efficacy of extended radical (three-field) lymphadenectomy for esophageal cancer compared with less radical (two-field) lymphadenectomy.Study Subjects and Analytic Methods The mortality and morbidity rates, postoperative courses, and survival rates were compared between 63 patients who underwent three-field lymph node dissection and 65 who underwent two-field lymph node dissection at Kurume University Hospital from 1986 to 1991. Long-term quality of life after surgery was compared between 37 patients who underwent three-field dissection and 35 who underwent two-field dissection from 1980 to 1991.Results Three-field dissection resulted in better survival for patients with positive lymph node metastasis from a carcinoma in the upper thoracic or midthoracic esophagus compared with two-field dissection, The mortality rates, postoperative courses and quality of life were the same for both procedures.Conclusions Three-field dissection is preferred for upper thoracic or midthoracic esophageal cancer because of improved survival, acceptable mortality and morbidity rates, and good postoperative course and quality of life.