Dissection borders of laparoscopic lower mediastinal lymphadenectomy for adenocarcinoma of esophagogastric junction and the quality control.
10.3760/cma.j.cn441530-20211221-00518
- VernacularTitle:食管胃结合部腺癌腹腔镜手术的下纵隔淋巴结清扫边界及质量控制
- Author:
Shuang Xi LI
1
;
Zi Yu LI
1
Author Information
1. Department of Gastrointestinal Surgery, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Peking University Cancer Hospital & Institute, Beijing 100142, China.
- Publication Type:Journal Article
- Keywords:
Adenocarcinoma of the esophagogastric junction;
IDEAL framework;
Laparoscopic surgery;
Lower mediastinal lymphadenectomy
- MeSH:
Adenocarcinoma/surgery*;
Esophageal Neoplasms/surgery*;
Esophagogastric Junction/surgery*;
Humans;
Laparoscopy/methods*;
Lymph Node Excision/methods*;
Quality Control;
Retrospective Studies;
Stomach Neoplasms/surgery*
- From:
Chinese Journal of Gastrointestinal Surgery
2022;25(2):120-123
- CountryChina
- Language:Chinese
-
Abstract:
The lower mediastinal lymphadenectomy is indicated for adenocarcinoma of esophagogastric junction (AEG), while the laparoscopic procedure shows some advantages. According to previous studies and results of IDEAL phase 2a study in our institute, the following structures are recommended as the dissection borders: the upper (cranial) is inferior wall of pericardium and pulmonary ligament; the lower (caudal) is diaphragm hiatus (esophagogastric junction); the front (ventral) is anterior inferior wall of pericardium and diaphragm; the back (dorsal) is anterior wall of aorta; the lateral is mediastinal pleura. The standard of quality control is still under investigation.
