Lymph node dissection in the surgical treatment of cancer of the esophagus and cardioesophageal region

Abstract

The results of lymphadenectomy in esophagus resection and cardioesophageal cancer are studied. During the period from 1990 to 1998 112 patients were operated because of the cancer of esophagus and cardial part of the stomach. Metastases were found in less than half of the patients with increased the lymphnodes during the operation. In some cases metastases were found in the absence of their visible increase. It is concluded that the esophagus resection because of the cancer with one — moment esophagoplasty should be accompanied by lymphadenectomy from regional lymphatic collectors. The adequate determination of the esophagus cancer, resectability, optimal choice of approach and methods of operation supplied by enlarged lymphadenectomy gave the encouraging results.

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