Extent of lymphadenectomy for esophageal cancer.
10.3760/cma.j.cn441530-20221205-00506
- VernacularTitle:食管癌淋巴结清扫范围
- Author:
Chao CHENG
1
;
Xin XIAO
1
;
Si Yuan LUAN
1
;
Yong YUAN
1
Author Information
1. Department of Thoracic Surgery, West China Hospital of Sichuan University, Chengdu 610041, China.
- Publication Type:Journal Article
- MeSH:
Humans;
Lymphatic Metastasis/pathology*;
Lymph Node Excision;
Lymph Nodes/pathology*;
Prognosis;
Esophageal Neoplasms/pathology*;
Neoplasm Staging;
Esophagectomy
- From:
Chinese Journal of Gastrointestinal Surgery
2023;26(4):319-324
- CountryChina
- Language:Chinese
-
Abstract:
Esophageal cancer is a common malignant tumor in China. For resectable ones, surgery is still the primary treatment. At present, the extent of lymph node dissection remains controversial. Extended lymphadenectomy makes metastatic lymph nodes more likely to be resected, which contributed to pathological staging and postoperative treatment. However,it may also increase the risk of postoperative complications and affect prognosis. Therefore, it is controversial how to balance the optimal extent/number of dissected lymph nodes for radical resection with the lower risk of severe complications. In addition, whether the lymph node dissection strategy should be modified after neoadjuvant therapy needs to be investigated, especially for patients who have a complete response to neoadjuvant therapy. Herein, we summarize the clinical experience on the extent of lymph node dissection in China and worldwide, aiming to provide guidence for the extent of lymph node dissection in esophageal cancer.
