Three-Field Lymphadenectomy in Minimally Invasive Esophagectomy for Squamous Cell Carcinoma

Song, Weian; Fan, Boshi; Liu, Junqiang; Zhao, Jinping; Chen, Siyu; Yue, Caiying; Zhou, Shiqi; Gong, Taiqian

doi:10.1016/j.athoracsur.2020.09.022

Cited by 6 publications

(3 citation statements)

References 32 publications

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“…This will undoubtedly further increase the complexity of the procedure, particularly the risk of recurrent nerve injury, however, several recent series from Asian institutions appear promising. 19,20 In summary, our data shows that metastases to the CT nodes is common in Western patients with both squamous carcinoma and AC of the esophagus and strongly suggests that it may be an early rather than a late event in disease evolution. We further show that the procedure has an important survival benefit, although this experience clearly needs to be duplicated in other experienced esophageal centers.…”

Section: Discussionmentioning

confidence: 59%

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Ten-Year Survival and Recurrence Patterns After Three-Field Lymph Node Dissection for Squamous Cell and Adenocarcinoma of the Esophagus

et al. 2022

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Objective: The aim was to determine the prevalence of metastases to the cervical and recurrent laryngeal cervicothoracic (CT) nodes as well as survival and recurrence patterns after esophagectomy with three-field lymph node dissection (TFD) in patients with predominately adenocarcinoma (AC) of the esophagus. Background: Although esophagectomy with TFD is commonly practiced in Japan and Southeast Asia for squamous cell cancer (SCC) of the esophagus, there are only a handful of reports about its’ utilization and survival benefit in North American patients. Methods: This is a retrospective case series of patients who had an esophagectomy with TFD. The primary outcomes of interest were the prevalence of nodal metastases to the CT nodes as well as overall survival (OS) and disease-free survival. Secondary outcomes included time to recurrence, recurrence patterns, operative morbidity as well as 30 and 90-day mortality. Results: Two hundred forty-two patients with esophageal cancer (AC: 67%) underwent esophagectomy with TFD. Metastases to the CT nodes were present in 56 patients (23%: AC 20% and SCC 30%). Positive CT nodes were present in 14% of pT1/T2 tumors and 30% of pT3 tumors. For the 56 patients with CT positive nodes, 5-year OS was 25% (AC:16%; SCC:39%). Fifteen of 56 (26.7%) patients with metastases to the CT nodes were alive and disease-free at a minimum of 5 years postoperatively. Ten-year OS was 43% for all patients with SCC and 28% for patients with AC. Conclusions: Metastases to the CT nodes are common in both SCC and AC of the esophagus and may be present in at least 14% of early lesions. Five-year survival is encouraging particularly for patients with esophageal SCC cancer.

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Section: Discussionmentioning

confidence: 59%

“…Clearly a major challenge going forward will be adapting the technique of TFD to minimally invasive approaches. This will undoubtedly further increase the complexity of the procedure, particularly the risk of recurrent nerve injury, however, several recent series from Asian institutions appear promising 19,20…”

Section: Discussionmentioning

confidence: 99%

Ten-Year Survival and Recurrence Patterns After Three-Field Lymph Node Dissection for Squamous Cell and Adenocarcinoma of the Esophagus

et al. 2022

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“…After selection, 28 studies 11–38 were finally included from an initial search of 1000 articles. The systematic review comprised 5168 patients who underwent 2F lymphadenectomy and 4012 patients who were submitted to the 3F lymphadenectomy.…”

Section: Resultsmentioning

confidence: 99%

Two‐ versus three‐field lymphadenectomy for esophageal cancer. A systematic review and meta‐analysis of early and late results

Datrino

Orlandini

Serafim

et al. 2022

Journal of Surgical Oncology

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This study aims to estimate whether prophylactic cervical lymphadenectomy for esophageal cancer influences the short-and long-term results through a systematic literature review and meta-analysis. Twenty-eight articles were selected in this systematic review, encompassing 9180 patients. Prophylactic neck lymphadenectomy for esophageal cancer should be performed with caution, as it is associated with worse short-term results compared to traditional two-field lymphadenectomy and does not improve long-term survival.

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Advantages of Totally Stapled Collard Over Circular Stapled Technique for Cervical Esophagectomy Anastomosis

Wang,

Xie,

Wei

et al. 2024

The Annals of Thoracic Surgery

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Three-Field Lymphadenectomy in Minimally Invasive Esophagectomy for Squamous Cell Carcinoma

Cited by 6 publications

References 32 publications

Ten-Year Survival and Recurrence Patterns After Three-Field Lymph Node Dissection for Squamous Cell and Adenocarcinoma of the Esophagus

Ten-Year Survival and Recurrence Patterns After Three-Field Lymph Node Dissection for Squamous Cell and Adenocarcinoma of the Esophagus

Two‐ versus three‐field lymphadenectomy for esophageal cancer. A systematic review and meta‐analysis of early and late results

Advantages of Totally Stapled Collard Over Circular Stapled Technique for Cervical Esophagectomy Anastomosis

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