Isono K, Sato H, Nakayama K
Department of Surgery, Chiba University, School of Medicine, Japan.
Oncology. 1991;48(5):411-20. doi: 10.1159/000226971.
In order to determine the operative indications of three-field lymph node dissection of esophageal cancer, attempts were made to collect data concerning procedures performed between 1983 and 1989 in major institutions in Japan, and the results from institutions performing three-field or two-field lymph node dissection were compared. The treatment results of three-field lymph node dissection were better than those after two-field dissection, except for early or advanced cancer. The survival rate improved by the three-field as compared with the two-field lymph node dissection; however, since surgery was invasive, some complications such as recurrent nerve paralysis were frequent. The results show that the indication of three-field lymph node dissection has to be carefully determined for each patient.
为了确定食管癌三野淋巴结清扫术的手术指征，我们尝试收集1983年至1989年间日本主要机构实施的手术相关数据，并比较了实施三野或二野淋巴结清扫术机构的结果。除早期或晚期癌症外，三野淋巴结清扫术的治疗效果优于二野清扫术。与二野淋巴结清扫术相比，三野清扫术提高了生存率；然而，由于手术具有侵入性，一些并发症如喉返神经麻痹较为常见。结果表明，必须为每位患者仔细确定三野淋巴结清扫术的指征。
