• We are sorry, but NCBI web applications do not support your browser and may not function properly. More information
Logo of annsurgLink to Publisher's site
Ann Surg. Nov 1995; 222(5): 654–662.
PMCID: PMC1234993

Mortality and morbidity rates, postoperative course, quality of life, and prognosis after extended radical lymphadenectomy for esophageal cancer. Comparison of three-field lymphadenectomy with two-field lymphadenectomy.

Abstract

PURPOSE: The authors evaluated the efficacy of extended radical (three-field) lymphadenectomy for esophageal cancer compared with less radical (two-field) lymphadenectomy. STUDY SUBJECTS AND ANALYTIC METHODS: The mortality and morbidity rates, postoperative courses, and survival rates were compared between 63 patients who underwent three-field lymph node dissection and 65 who underwent two-field lymph node dissection at Kurume University Hospital from 1986 to 1991. Long-term quality of life after surgery was compared between 37 patients who underwent three-field dissection and 35 who underwent two-field dissection from 1980 to 1991. RESULTS: Three-field dissection resulted in better survival for patients with positive lymph node metastasis from a carcinoma in the upper thoracic or midthoracic esophagus compared with two-field dissection. The mortality rates, postoperative courses and quality of life were the same for both procedures. CONCLUSIONS: Three-field dissection is preferred for upper thoracic or midthoracic esophageal cancer because of improved survival, acceptable mortality and morbidity rates, and good postoperative course and quality of life.

Full text

Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (1.2M), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References.

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Kato H, Watanabe H, Tachimori Y, Iizuka T. Evaluation of neck lymph node dissection for thoracic esophageal carcinoma. Ann Thorac Surg. 1991 Jun;51(6):931–935. [PubMed]
  • Zhang GH, Fujita H, Yamana H, Kakegawa T. A prediction of hospital mortality after surgical treatment for esophageal cancer. Surg Today. 1994;24(2):122–127. [PubMed]
  • Isono K, Ochiai T, Okuyama K, Onoda S. The treatment of lymph node metastasis from esophageal cancer by extensive lymphadenectomy. Jpn J Surg. 1990 Mar;20(2):151–157. [PubMed]
  • Noguchi Y, Baba M, Nakano S, Fukumoto T, Yoshinaka H, Aikou T, Shimazu H. [Quality of life of patients after esophagectomy for esophageal cancer]. Nihon Geka Gakkai Zasshi. 1991 Mar;92(3):281–287. [PubMed]
  • Hirano M, Tanaka S, Fujita M, Fujita H. Vocal cord paralysis caused by esophageal cancer surgery. Ann Otol Rhinol Laryngol. 1993 Mar;102(3 Pt 1):182–185. [PubMed]
  • Fujita H, Hawahara H, Yamana H, Shirohazu G, Yoshimura Y, Minami T, Negoto Y, Irie H, Shima I, Machi J, et al. Mediastinal lymphnode dissection procedure during esophageal cancer operation--carefully considered for preserving respiratory function. Jpn J Surg. 1988 Jan;18(1):31–34. [PubMed]
  • Skinner DB. En bloc resection for neoplasms of the esophagus and cardia. J Thorac Cardiovasc Surg. 1983 Jan;85(1):59–71. [PubMed]
  • Fujita H, Kawahara H, Hidaka M, Nagano T, Yoshimatsu H. An experimental study on viability of the devascularized trachea. Jpn J Surg. 1988 Jan;18(1):77–83. [PubMed]
  • Isono K, Sato H, Nakayama K. Results of a nationwide study on the three-field lymph node dissection of esophageal cancer. Oncology. 1991;48(5):411–420. [PubMed]
  • Fujita H, Kakegawa T, Yamana H, Shima I, Rikitake H, Hyodo M, Yokoyama T, Fujii T, Toh U, Tsugane S. Cervico-thoraco-abdominal (3-field) lymph node dissection for carcinoma in the thoracic esophagus. Kurume Med J. 1992;39(3):167–174. [PubMed]
  • Fujita H, Kakegawa T, Yamana H, Shima I, Tanaka H, Ikeda S, Nogami S, Toh Y. Lymph node metastasis and recurrence in patients with a carcinoma of the thoracic esophagus who underwent three-field dissection. World J Surg. 1994 Mar-Apr;18(2):266–272. [PubMed]

Articles from Annals of Surgery are provided here courtesy of Lippincott, Williams, and Wilkins

Formats:

Related citations in PubMed

See reviews...See all...

Cited by other articles in PMC

See all...

Links

  • Cited in Books
    Cited in Books
    PubMed Central articles cited in books
  • MedGen
    MedGen
    Related information in MedGen
  • PubMed
    PubMed
    PubMed citations for these articles

Recent Activity

Your browsing activity is empty.

Activity recording is turned off.

Turn recording back on

See more...