Collard J M
Service de Chirurgie de l'Appareil Digestif, Cliniques Universitaires Saint-Luc, BRUXELLES, Belgique.
Ann Chir. 1996;50(2):121-9.
This paper analyses the surgical literature devoted to lymph node clearance for cancer of the esophagus. Involvement of a small number of lymph nodes by the neoplastic process does not preclude long-term survival and even cure. The superiority of the 3-field dissection over the 2-field dissection, although suggested in the available studies, should be confirmed by a prospective randomized study. Extensive lymph node clearance protects many patients from local recurrence, and allows to staging of the neoplastic disease and selection of those patients who are eligible for adjuvant therapy.
本文分析了有关食管癌淋巴结清扫术的外科文献。肿瘤过程累及少数淋巴结并不排除长期生存甚至治愈的可能。尽管现有研究表明三野清扫术优于二野清扫术,但仍需前瞻性随机研究予以证实。广泛的淋巴结清扫可使许多患者避免局部复发,并有助于肿瘤疾病的分期及选择适合辅助治疗的患者。