Comparisons of minimally invasive esophagectomy and open esophagectomy in lymph node metastasis/dissection for thoracic esophageal cancer

Autor: Zhenhua Li, Chunyue Gai, Yuefeng Zhang, Shiwang Wen, Huilai Lv, Yanzhao Xu, Chao Huang, Bo Zhao, Ziqiang Tian, Xiuyuan Hao, Rongman Jia
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Chinese Medical Journal, Vol 135, Iss 20, Pp 2446-2452 (2022)
Druh dokumentu: article
ISSN: 0366-6999
2542-5641
00000000
DOI: 10.1097/CM9.0000000000002342
Popis: Abstract. Background:. The study aimed to clarify the characteristics of lymph node metastasis (LNM) and to compare the oncologic outcomes of minimally invasive esophagectomy (MIE) with open esophagectomy (OE) in terms of lymph node dissection (LND) in thoracic esophageal cancer patients. Methods:. The data from esophageal cancer patients who underwent MIE or OE from January 2016 to January 2019 were retrospectively reviewed. The characteristics of LNM in thoracic esophageal cancer were discussed, and the differences in numbers of LND, LND rate, and LNM rate/degree of upper mediastinum between MIE and OE were compared. Results:. For overall characteristics of LNM in 249 included patients, the highest rate of LNM was found in upper mediastinum, while LNM rate in middle and lower mediastinum, and abdomen increased with the tumor site moving down. The patients were divided into MIE (n = 204) and OE groups (n = 45). In terms of number of LND, there were significant differences in upper mediastinum between MIE and OE groups (8 [5, 11] vs. 5 [3, 8], P
Databáze: Directory of Open Access Journals