Asian Annals
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INVITED REVIEW

Current Trends in Extended Lymph Node Dissection for Esophageal Carcinoma

Wen-Tao Fang, MD, Wen-Hu Chen, MD

Department of Thoracic Surgery, Shanghai Chest Hospital, Jiaotong University Medical School, Shanghai, China

Fang Wen-Tao, MD, Tel: +86 21 62821990, Fax: +86 21 68201190, Email: vwtfang{at}hotmail.com, Department of Thoracic Surgery, Shanghai Chest Hospital, 241 Huaihai Road West, Shanghai, 200030, China.

Extended lymph node dissection helps increase the curativeness of resection, the accuracy of surgical-pathological staging, and the prognosis of thoracic esophageal carcinoma. However, it is also associated with significantly increased surgical morbidity and has noticeable negative effects on the quality of life after surgery. Current trends for selective lymph node dissection based on clinical evidence may be helpful in reducing surgical risks while assuring the completeness of resection.

Key Words: Esophageal Neoplasms • Lymphatic Metastasis • Neck Dissection • Postoperative Complications • Vocal Cord Paralysis

Asian Cardiovasc Thorac Ann 2009; 17:208-213
© 2009 by SAGE Publications
DOI: 10.1177/0218492309103332




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