Comparison of short-term outcomes between 2- and 3-field lymph node dissection for esophageal cancer

Summary Although 3-field lymph node dissection (3-FLD) is often performed for thoracic esophageal squamous cell carcinoma (ESCC), the clinical effects of cervical lymph node dissection in addition to mediastinal and abdominal dissections on postoperative complications remain unclear. A total of 367...

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Bibliographic Details
Published in:Diseases of the esophagus 2017-11, Vol.30 (11), p.1-8
Main Authors: Yamashita, K., Makino, T., Yamasaki, M., Tanaka, K., Hara, T., Miyazaki, Y., Takahashi, T., Kurokawa, Y., Nakajima, K., Takiguchi, S., Mori, M., Doki, Y.
Format: Article
Language:English
Subjects:
Abdomen
Adult
Aged
Aged, 80 and over
C-Reactive Protein - analysis
Carcinoma, Squamous Cell - blood
Carcinoma, Squamous Cell - pathology
Carcinoma, Squamous Cell - surgery
Esophageal Neoplasms - blood
Esophageal Neoplasms - pathology
Esophageal Neoplasms - surgery
Esophageal Squamous Cell Carcinoma
Esophagectomy - methods
Female
Humans
Length of Stay
Lymph Node Excision - methods
Lymph Nodes - pathology
Lymph Nodes - surgery
Male
Mediastinum
Middle Aged
Neck
Operative Time
Pneumonia - etiology
Postoperative Complications - etiology
Postoperative Period
Propensity Score
Prospective Studies
Retrospective Studies
Systemic Inflammatory Response Syndrome - etiology
Time Factors
Treatment Outcome
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Summary:Summary Although 3-field lymph node dissection (3-FLD) is often performed for thoracic esophageal squamous cell carcinoma (ESCC), the clinical effects of cervical lymph node dissection in addition to mediastinal and abdominal dissections on postoperative complications remain unclear. A total of 367 ESCC patients who underwent curative esophagectomy for thoracic esophageal cancer in our hospital from 2010 to 2015 were included in the study: 157 patients who underwent 2-field lymph node dissection (2-FLD) and 210 patients who underwent 3-FLD. Clinicopathological parameters and postoperative complications based on the Clavien–Dindo classification were compared between the two groups. We performed propensity score matching (PSM) analyses to compare the groups with well-balanced backgrounds. In terms of patient background, clinical T (p
ISSN:1120-8694
1442-2050
DOI:10.1093/dote/dox096