This Article  • Full text  • PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Related article  • Similar articles in this journal  Topic Collections  • Gastrointestinal/ Upper Foregut  • Thoracic Surgery  • Review  • Gastrointestinal Diseases  • Alert me on articles by topic

David M. Follette, MD
Sacramento, Calif

Arch Surg. 2003;138:1390.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

The treatment of esophageal cancer remains one of the most difficult for the thoracic surgeon and thoracic oncologist. The range of treatment options goes from simple stinting with palliation to chemoradiation therapy with or without surgery, and from minimally invasive surgical approaches to extended esophagectomy with radical lymph node dissection. The latter approach is summarized in the article by Tachibana et al.

In this article, the authors summarize the results of extended radical esophagectomy found in 37 manuscripts reported from 1980 to the present. They specifically looked at the degree of lymph node dissection and whether this was in 2 or 3 fields. Although they report a trend toward better survival in 3-field dissection, there was no statistical difference when 2- or 3-field dissection was compared in a prospective randomized trial. The concern raised with this more radical approach, however, is a very high complication rate . . . [Full Text of this Article]

RELATED ARTICLE

Extended Esophagectomy With 3-Field Lymph Node Dissection for Esophageal Cancer
Mitsuo Tachibana, Shoichi Kinugasa, Hiroshi Yoshimura, Dipok Kumar Dhar, and Naofumi Nagasue
Arch Surg. 2003;138(12):1383-1389.
ABSTRACT | FULL TEXT