THE RATE OF CERVICAL LYMPH NODE METASTASIS IN ESOPHAGECTOMY WITH THREE FIELD LYMPHADENECTOMY FOR ESOPHAGEAL CARCINOMA

Hoàng Nguyễn1,, Doãn Đông Trịnh2
1 Hanoi Medical University Hospital
2 Thanh Hoa Provincial General Hospital

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Abstract

Objectives: To describe the clinical, paraclinical and rate of cervical lymph node metastasis in patients undergoing esophagectomy with three field lymphadenectomy for esophageal carcinoma at Hanoi Medical University Hospital. Methods: A prospective descriptive study on 16 patients with esophageal carcinoma who underwent thoracoscopic-laparoscopic esophagectomy and three field lymphadenectomy. Results and discussion: Mean age 59.75 ± 6.96. All of the patients are male. The middle third of the tumor accounted for 56.2%, the lower third accounted for


 


 


 


48.2%. Stages IIB and IIIB accounted for the most 31.5%, stages IA, IB, IIA all accounted for 12.5%. The average number of cervical lymph nodes: 28.25 ±


8.72 (minimum 12 nodes, maximum 43 nodes). In which, there was 1 case of cervical lymph node metastasis in patients with tumors in the middle third position, accounting for 11.1%, there was no case of cervical lymph node metastasis in patients with tumors in the lower third position. Conclusions: The rate of cervical lymph node metastasis in squamous cell carcinoma is a quite high, more common in esophageal cancer of the middle third, less often in the lower third. Recommended is performed thoracoscopic-laparoscopic esophagectomy and three field lymphadenectomy in patients which the tumor is located upper and middle third.

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References

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