Lasser P, Elias D
Service de Chirurgie Digestive Carcinologique, Institut Gustave-Roussy, Villejuif.
J Chir (Paris). 1989 Jan;126(1):40-4.
During esophagectomy for cancer traditional lymph node curettage is performed extensively in the lower region but is practically nonexistent towards the upper zone, which fails to correspond to a satisfactory anatomic and oncologic exeresis. An operative technique has been adopted to extend lymph gland curettage, particularly in the anterior and superior mediastinum in the region of the recurrent and cervical chains. An analysis is performed of the advantages (increased survival) and inconveniences (increased postoperative morbidity) inherent in these extensive lymph node curettages.
在食管癌切除术中，传统的淋巴结刮除术在下段区域广泛进行，但在上段区域几乎不存在，这与令人满意的解剖学和肿瘤学切除不相符。已采用一种手术技术来扩大淋巴结刮除范围，特别是在迷走神经链和颈淋巴结链所在区域的前纵隔和上纵隔。对这些广泛的淋巴结刮除术所固有的优势（提高生存率）和不便之处（术后发病率增加）进行了分析。
