Journal
ANNALS OF SURGERY
Volume 250, Issue 2, Pages 206-209Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/SLA.0b013e3181b16cd1
Keywords
-
Categories
Ask authors/readers for more resources
Objective: To address the role of lymphadenectomy in the treatment of esophageal cancer. Background: The role of lymphadenectomy in esophageal cancer surgery is controversial, and there is a lack of uniformity as to what the term means. Methods: The published data was reviewed to evaluate the evidence base for, and the terminology associated with, lymphadenectomy for esophageal cancer. Results: Recommendations arc given for a standardization of terminology for radical and nonradical lymphadenectomy procedures. Although there is no doubt that the presence of lymph node metastases worsens prognosis for a patient, there is a lack of high-level evidence to support lymphadenectomy. Logically, the best procedure, from a staging and perhaps theoretical oncologic point of view, is a 3-field lymphadenectomy but it is not clear which patients if any, are most likely to benefit. Conclusions: Well-designed randomized controlled trials are required to test, in a scientific manner, which of these procedures we should be offering our patients.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available