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J.Jpn. Surg. Soc.. 112(2): 94-98, 2011


Feature topic

TRANS-THORACIC ESOPHAGECTOMY WITH 3-FIELD LYMPH NODES DISSECTION

1) Department of Esophageal and Gastroenterological Surgery, Juntendo University, Tokyo, Japan
2) Juntendo Hospital Cancer Center, Tokyo, Japan

Yoshiaki Kajiyama1), Yoshimi Iwanuma1), Natsumi Tomita1), Takayuki Amano1), Fuyumi Isayama1), Kazutomo Ohuchi1), Noritaka Sakai1), Tomoyuki Kushida1), Hirofumi Inoue1), Shuji Tamazaki1), Tetsusi Kuniyasu1), Takasi Hashimoto1), Haruhiko Okada1), Masahiko Tsurumaru2)

Although open-chest surgery is the mainstay treatment for esophageal cancer, the understanding of the context of the surgery differs in Japan and the rest of the world. Three-field lymph node dissection has been unique to Japan, although some reports on its benefits are emerging elsewhere. In addition to three-field lymph node dissection, various efforts are made during surgical procedures to reduce complications at high-volume Japanese healthcare institutions.


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