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KMID : 0364019950280100954
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Korean Journal of Thoracic and Cardiovascular Surgery
1995 Volume.28 No. 10 p.954 ~ p.962
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Three Regional Lymph Node Dissection in Thoracic Esophageal Cancer Surgery
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박재길
이선희/권종범/최승호/곽문섭/김세화/이종서
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Abstract
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Extended lymph node dissection, which includes dissection of the cervical and superior mediastinal nodes (three-field dissection), has been performed to improve the long term survival since 1982 in Japan. Recently, the 5-year survival rate after
three-field dissection has been reported to be better than 40%.
During the period, from April to June, 1995, 4 patients among 7 operable esophageal cancer patients underwent subtotal esophagectomy with systematic dissection of regional lymph nodes including superior mediastinal and cervical lymph nodes at St.
Mary's
Hospital. The esophagogastric anastomoses were made in the neck and the ascending routes of gastric tube were posterior mediastinal route. The cancer stage of them were stage ⅡA & ⅡB and it was possible to operate on a curability Ⅱ & Ⅲ basis.
The
numbers of resected lymph nodes with the three field dissection were 40~55. Postoperative complications were transient recurrent laryngeal nerve paralysis, atelectasis and chylothorax in 1 patient respectively but there was no anastomotic leak
nor
stenosis.
(Korean J Thorac Cardiovasc Surg 1995;28:954-62)
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