Department of GI Surgery & Liver Transplant, GB Pant Institute of PGMER, IndiaFulltext PDF
The extent of lymphadenectomy in curative resection for esophageal cancer can be a standard 2-field, extended 2-field or a 3-field lymphadenectomy. Japanese surgeons base their adoption of the 3-field lymphadenectomy (3FL) on the superior survival with comparable mortality even though morbidity is higher compared to the 2-field lymphadenectomy (2FL). Selective performance of 3FL based on sentinel node sampling and other imaging strategies has been described. Thoraco-laparoscopic approach has been increasingly utilised in the performance of systematic lymphadenectomy. There is still no clear consensus on the choice between 2FL and 3FL.
Lymphadenectomy; Thoraco-laparoscopic approach; Esophageal cancer
Saravanan MN. Two Field versus three Field Lymphadenectomy in Carcinoma Esophagus: Current Perspectives. Clin Surg. 2016; 1: 1267.