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Updated: Jun 2, 2026
09:04
Low-Cost Single-Port (LoCoSP) Device for a Transcervical Approach in Minimally Invasive Transhiatal Esophagectomy
Published on: September 11, 2021
[Trans-thoracic esophagectomy with 3-field lymph nodes dissection]
Yoshiaki Kajiyama1, Yoshimi Iwanuma, Natsumi Tomita
1Department of Esophageal and Gastroenterological Surgery, Juntendo University, Tokyo, Japan.
Nihon Geka Gakkai Zasshi
|April 15, 2011
Summary
Esophageal cancer surgery differs globally, with Japan uniquely employing three-field lymph node dissection. Japanese institutions focus on reducing complications during these extensive surgical procedures.
Area of Science:
- Surgical Oncology
- Gastrointestinal Surgery
Context:
- Esophageal cancer treatment predominantly involves open-chest surgery.
- Surgical approaches and understanding vary significantly between Japan and other global regions.
- Three-field lymph node dissection is a distinctive Japanese surgical technique for esophageal cancer.
Purpose:
- To highlight the unique aspects of esophageal cancer surgery in Japan.
- To discuss the significance of three-field lymph node dissection.
- To explore strategies for complication reduction in high-volume Japanese centers.
Summary:
- Open-chest surgery is standard for esophageal cancer, but Japanese practices, including three-field lymph node dissection, differ.
- Japanese high-volume institutions implement specific measures during surgery to minimize complications.
- Emerging evidence suggests potential benefits of the three-field lymph node dissection approach.
Impact:
- Provides insight into specialized Japanese surgical techniques for esophageal cancer.
- Contributes to the global understanding of advanced oncological surgical procedures.
- May inform future research and standardization of lymph node dissection in esophageal cancer treatment.
