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Regional Extent of Lymphadenectomy for Esophageal Cancer

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Difficult Decisions in Thoracic Surgery

Part of the book series: Difficult Decisions in Surgery: An Evidence-Based Approach ((DDSURGERY,volume 1))

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Abstract

Surgery has been most frequently used to obtain locoregional control and has played a major role in esophageal cancer treatment. Thoracic esophageal carcinoma is commonly accompanied by extensive lymph node metastasis in the cervical, thoracic, and abdominal regions. However, the distribution and incidence of lymph node metastasis both may vary according to the location, size, and depth of tumor invasion. The cervical lymph nodes are at risk of cancer metastasis from either upper or middle thoracic esophageal cancers. Therefore, three-field lymphadenectomy is recommended. In patients with lower thoracic esophageal cancers, the appropriate extent of regional lymphadenectomy is defined by mediastinal and abdominal lymphadenectomy.

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Authors and Affiliations

  1. Department of Surgery, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, 160-8582, Tokyo, Japan

    Hirofumi Kawakubo MD, PhD, Hiryoya Takeuchi MD & Yuko Kitagawa MD, PhD

Authors
  1. Hirofumi Kawakubo MD, PhD
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  2. Hiryoya Takeuchi MD
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  3. Yuko Kitagawa MD, PhD
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Corresponding author

Correspondence to Yuko Kitagawa MD, PhD .

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Editors and Affiliations

  1. Surgery, University of Chicago, Chicago, Illinois, USA

    Mark K. Ferguson

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© 2014 Springer-Verlag London

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Kawakubo, H., Takeuchi, H., Kitagawa, Y. (2014). Regional Extent of Lymphadenectomy for Esophageal Cancer. In: Ferguson, M. (eds) Difficult Decisions in Thoracic Surgery. Difficult Decisions in Surgery: An Evidence-Based Approach, vol 1. Springer, London. https://doi.org/10.1007/978-1-4471-6404-3_26

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  • DOI: https://doi.org/10.1007/978-1-4471-6404-3_26

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-6403-6

  • Online ISBN: 978-1-4471-6404-3

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