J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 1300KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 90(9): 1623-1625, 1989

Report on the annual meeting

CERVICOTHORACIC-ABDOMINAL LYMPH NODE DISSECTION FOR CARCINOMA IN THE THORACIC ESOPHAGUS

First Department of Surgery, Kurume University School of Medicine, Kurume, Japan
*) Epidemiology Division, National Cancer Center Research Institute, Tokyo, Japan

Hiromasa Fujita, Teruo Kakegawa, Hideaki Yamana, Genzan Shirouzu, Taizo Minami, Takafumi Ono, Shoichiro Tsugane

Over the period from 1982 to 1988, 127 cases with carcinoma in the thoracic esophagus underwent curative resection through a right thoracotomy. Cervicothoracic-abdominal lymph node dissection was performed in twenty-seven cases. No operative death occurred and only one hospital death (4％) was recorded. The only postoperative complication was recurrent laryngeal nerve palsy. Based on the adjusted survival-rate curves using Cox’s method, there was significant difference in prognosis in favor of these 27 cases that received cervicothoracic-abdominal lymph node dissection over those that did not. The survival rate of all curatively operated cases was noticeably improved by using this procedure. Of those that underwent dissection only, or dissectin with postoperative radiotherapy or chemotherapy, the best prognosis could be reached by a combination of the cervicothoracic-abdominal lymph node dissection and postoperative chemotherapy. From follow-up data regarding recurrence rates, a more extended dissection and complete removal of lymph nodes in the left upper mediastinum and retroperitoneum should further improve the long-term prognosis.

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