Clinical Value of Wide-excision of Celiac Trunk Lymph Node for Thoracic Esophageal Carcinoma and Cardiac Cancer
10.3969/j.issn.1000-8179.2010.03.013
- VernacularTitle:腹腔动脉干区淋巴结清扫术在食管癌和责门癌治疗中的价值
- Publication Type:Journal Article
- Keywords:
Esophageal neoplasm;
Cardiac cancer;
Celiac trunk;
Lymphadenectomy;
Prognosis
- From:
Chinese Journal of Clinical Oncology
2010;37(3):164-166
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To investigate characteristics of celiac trunk lymph-node metastases of thoracic esophageal carcinoma and cardiac cancer and their influence on the prognosis, and to investigate a reason-able range for regional celiac trunk lymph-node clearance. Methods: Specimens from 836 patients treated with resection of thoracic esophageal carcinoma and cardiac cancer were retrospectively analyzed. Results:The rate of celiac lymph-node metastasis was 60.3% (502/836). Of the lymph nodes detected, 16.8% were found with metastasis. The extent of metastasis adjacent to the common hepatic artery and celiac trunk and within the hepatoduodenal ligaments was 10.8%, 10.1% and 9.8%, respectively. The overall rate of regional celiac recurrence at 3 years after surgery was 6.1%. The 3-year survival for patients with metastases in the celiac lymph nodes was 44.6%, lower than that in non-metastatic patients (72.4%) (P<0.05). Conclusion: Celi-ac lymph-node metastasis is one of key factors affecting the prognosis of patients treated with resection of esophageal cancer and cardiac cancer. Extensive clearance of the celiac-trunk lymph nodes can reduce the rate of postoperative regional metastasis.
