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[Two stages three fields lymph node dissection in esophageal cancer]
1Department of Surgery I, Medical College of Oita, Japan.
[Zasshi] [Journal]. Nihon Kyobu Geka Gakkai
|September 1, 1990
Summary
The three fields lymph node dissection method is effective for esophageal cancer patients, even those with moderate health issues, using a two-stage approach. This technique expands treatment options for a wider patient range.
Area of Science:
- Oncology
- Surgical Oncology
Context:
- Esophageal cancer treatment necessitates comprehensive lymph node dissection.
- The three fields lymph node dissection (3F-LND) is a radical approach.
- Patient selection for 3F-LND can be limited by physical condition.
Purpose:
- To evaluate the applicability and outcomes of the three fields lymph node dissection (3F-LND) using a two-stage technique in esophageal cancer patients with moderate physical disturbances.
- To expand the indications for 3F-LND to a broader patient population.
Summary:
- A retrospective study of 58 esophageal cancer patients (excluding cervical) undergoing esophagectomy between 1986-1988.
- 26 patients received 3F-LND: 13 in one stage (no/mild physical disturbance) and 13 in two stages (moderate physical disturbance).
- The two-stage technique involved subtotal esophagectomy and lymph node dissection, followed by reconstruction and further dissection after approximately one month.
Impact:
- The two-stage 3F-LND technique allows for the application of radical lymph node dissection in esophageal cancer patients with moderate physical limitations.
- This approach potentially improves oncological outcomes by enabling more comprehensive treatment in a wider patient group.