Surgical Treatment of Intrathoracic Esophageal Carcinoma: Analysis of 481 Cases of Resected Squamous Cell Carcinoma
Conventional surgical treatment of esophageal carcinoma does not yield a satisfactory outcome. Recurrence is frequently observed in upper mediastinal and/or cervical lymph nodes. Blood-borne metastasis is another factor contributing to the poor prognosis. Considerable effort, including extensive lymph node dissection and chemotherapy, has been directed to improving the long-term survival rate. In our department, the routine surgical treatment for thoracic esophageal carcinoma including adjuvant therapy was changed in 1984, particularly in terms of the extent of lymph node dissection. The aim of this investigation was to analyze the difference in long-term survival achieved with the surgical approaches applied before and after 1984.
KeywordsEsophageal Carcinoma Extensive Lymph Node Superior Vena Caval Syndrome Extensive Lymph Node Dissection Mediastinal Lymph Node Metastasis
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