Prognostic Value of Subcarinal Lymph Nodes in Minimally Invasive Esophagectomy for Cancer.

Abstract:

BACKGROUND/AIM:Surgical resection for esophageal cancer has remained the gold-standard therapy provided worldwide. Subcarinal lymph-nodes are classified as peri-esophageal nodes and their dissection may be performed during a 2- or 3-stage esophagectomy. The necessity and prognostic value of subcarinal lymphadenectomy is still debatable. The purpose of this study was to investigate the rate of invaded subcarinal lymph-nodes out of the total lymph-nodes resected. Detection of invaded nodes was correlated with clinical staging and tumor differentiation. PATIENTS AND METHODS:This is a retrospective analysis of consecutive esophagectomies for cancer, performed in a UK tertiary center. The study was conducted over a 3-year period. RESULTS:The rate of subcarinal lymph-node invasion was extremely low according to the results of our analysis. CONCLUSION:Lymphadenectomy is not devoid of clinical impact on patients and therefore, the decision should actually be the outcome of a dynamic balance between complications and survival benefit.

journal_name

Anticancer Res

journal_title

Anticancer research

authors

Sdralis EK,Davakis S,Syllaios A,Lorenzi B,Kordzadeh A,Athanasiou A,Petousis S,Liakakos T,Charalabopoulos A

doi

10.21873/anticanres.13594

subject

Has Abstract

pub_date

2019-08-01 00:00:00

pages

4291-4295

issue

8

eissn

0250-7005

issn

1791-7530

pii

39/8/4291

journal_volume

39

pub_type

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