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Date Published: 05/05/2025
Abstract Views: 65
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DOI: https://doi.org/10.51298/vmj.v549i3.13985
Issue
Vol. 549 No. 3 (2025)
Section
Các bài báo
How to Cite
Bùi Đức, Ái, Dương Minh, T., Lâm Việt, T., & Trần Phùng Dũng, T. (2025). EVALUATION OF CERVICAL LYMPH NODE DISSECTION IN SURGICAL TREATMENT FOR ESOPHAGEAL SQUAMOUS CELL CARCINOMA. Vietnam Medical Journal, 549(3). https://doi.org/10.51298/vmj.v549i3.13985

EVALUATION OF CERVICAL LYMPH NODE DISSECTION IN SURGICAL TREATMENT FOR ESOPHAGEAL SQUAMOUS CELL CARCINOMA

Ái Bùi Đức, Tân Dương Minh, Trung Lâm Việt, Tiến Trần Phùng Dũng

Main Article Content

Abstract

Background: Cervical lymph node dissection is an important component of esophagectomy with three-field lymphadenectomy (cervical, thoracic, abdominal) for esophageal squamous cell carcinoma (ESCC). However, the true benefit of this procedure regarding patient survival remains controversial. Subjects and methods: A prospective, descriptive study was conducted from November 2015 to December 31, 2022. A total of 114 patients underwent thoracoscopic esophagectomy with three-field lymphadenectomy at the Department of Digestive Surgery, Cho Ray Hospital, Vietnam. Results: The rate of cervical lymph node metastasis in ESCC patients was 14%. Tumors located in the upper third of the esophagus had a cervical metastasis rate of 50%, whereas tumors in the middle and lower thirds showed rates of 19.2% and 6.9%, respectively. The rate of cervical node metastasis according to tumor invasion depth was 13% in pT1, 23.5% in pT3, and 16.7% in pT4 tumors. Complications included cervical fluid accumulation (6.1%), chylous fistula and internal jugular venous thrombosis (2.6%), and postoperative shoulder and arm numbness (1.8%). Conclusion: The high cervical lymph node metastasis rate (14%) supports the necessity of thoracoscopic esophagectomy with three-field lymphadenectomy for esophageal squamous cell carcinoma. However, further studies are needed to thoroughly evaluate the balance of benefits and risks associated with this surgical technique.

Article Details

Keywords

Cervical lymph node dissection, three-field lymphadenectomy

References

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