EXTENSIVE LYMPHADENECTOMY FOR THORACIC ESOPHAGEAL-CARCINOMA - A 2-STAGE OPERATION FOR HIGH-RISK PATIENTS

被引：15

作者：

SAITO, T ^{[1
]}

SHIMODA, K ^{[1
]}

SHIGEMITSU, Y ^{[1
]}

KINOSHITA, T ^{[1
]}

MIYAHARA, M ^{[1
]}

KOBAYASHI, M ^{[1
]}

机构：

[1] OITA MED UNIV,DEPT SURG 1,1-506 IDAIGAOKA,HASAMA MACHI,OITA 87955,JAPAN

来源：

SURGERY TODAY-THE JAPANESE JOURNAL OF SURGERY | 1994年 / 24卷 / 07期

关键词：

EXTENSIVE LYMPHADENECTOMY; ESOPHAGEAL CARCINOMA; 2-STAGE OPERATION; TRANSTHORACIC ESOPHAGECTOMY; HIGH-RISK PATIENTS;

D O I：

10.1007/BF01833725

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Extensive lymphadenectomy (ELA) for esophageal carcinoma has always been limited to low-risk patients; however, we have developed a two-stage operation which extends the indications for ELA to include certain high-risk patients. Of 70 patients who underwent transthoracic subtotal esophagectomy for thoracic esophageal carcinoma between 1986 and 1991, 48 qualified for ELA which was performed on 45, including 27 low-risk patients (group A) whom underwent the traditional one-stage operation, while 18 high-risk patients underwent the two-stage operation (group B). The number of hospital deaths and postoperative complications was similar between the two groups. The median survival was 26 months in group B and 17 months in group A. The 40-day delay in resection of the neck and abdominal nodes in the two-stage operation did not significantly affect lymph node metastases, postoperative recurrence, or long-term survival. Thus, the two-stage operation is an oncologically meaningful approach to the treatment of high-risk patients who present with thoracic esophageal carcinoma.

引用

页码：610 / 615

页数：6

共 13 条

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