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A Procedural Transhiatal Approach for the Thoracic Para-Aortic Lymph Node: A Case Report
Masashi Hashimoto1, Kazuhiro Noma1, Yasushige Takeda1
1Department of Gastroenterological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Okayama Prefecture, Japan.
Asian Journal of Endoscopic Surgery
|April 24, 2025
Summary
This case study explores a novel transhiatal approach for dissecting thoracic posterior para-aortic lymph nodes (TPAN) in esophageal cancer patients. The technique proved feasible and minimized respiratory impact, offering a potentially safer alternative for TPAN lymphadenectomy.
Area of Science:
- Surgical Oncology
- Gastrointestinal Oncology
- Thoracic Surgery
Background:
- Thoracic posterior para-aortic lymph node (TPAN) metastasis in esophageal cancer signifies poor prognosis.
- Dissection of TPAN may benefit select patients undergoing esophagectomy.
- Conventional approaches for TPAN dissection can be invasive.

