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How Many Nodes Need to be Removed to Make Esophagectomy an Adequate Cancer Operation, and Does the Number Change When a Patient has Chemoradiotherapy Before Surgery?
Annals of surgical oncology : the official journal of the Society of Surgical Oncology
  • Jonathan C Yeung
  • Manjit S Bains
  • Arianna Barbetta
  • Tamar Nobel
  • Steven R DeMeester
  • Brian E Louie, Division of Thoracic Surgery, Swedish Medical Center and Cancer Institute, Seattle, Washington
  • Mark B Orringer
  • Linda W Martin
  • Rishindra M Reddy
  • Francisco Schlottmann
  • Daniela Molena
Document Type
Article
Publication Date
10-11-2019
Disciplines
Abstract

INTRODUCTION AND DESIGN: Node dissection during esophagectomy is an important aspect of esophageal cancer staging. Controversy remains as to how many nodes need to be resected in order to properly stage a patient and whether the removal of more nodes carries a stage-independent survival benefit. A review of the literature performed by a group of experts in the subject may help define a minimum accepted number of lymph nodes to be resected in both primary surgery and post-induction therapy scenarios.

RESULTS AND CONCLUSIONS: The existing evidence generally supports the goal of obtaining a minimum of 15 lymph nodes for pathological examination in both primary surgery and post-induction therapy scenarios.

Clinical Institute
Cancer
Specialty
Oncology
Specialty
Swedish Digestive Health Institute
Specialty
Swedish Thoracic Surgery
Citation Information
Jonathan C Yeung, Manjit S Bains, Arianna Barbetta, Tamar Nobel, et al.. "How Many Nodes Need to be Removed to Make Esophagectomy an Adequate Cancer Operation, and Does the Number Change When a Patient has Chemoradiotherapy Before Surgery?" Annals of surgical oncology : the official journal of the Society of Surgical Oncology (2019)
Available at: http://works.bepress.com/brian-louie/213/