[Lymphadenectomy in surgery for cancers of the stomach and

Journal de chirurgie · Dec 2008

Review

[Lymphadenectomy in surgery for cancers of the stomach and esophagus].

Lymph node invasion is the principal prognostic factor in cancers of the stomach and esophagus which have a tendency to early lymphatic spread. The anatomy of regional lymph node groupings is described and standard and extended types of lymphadenectomy are defined. ⋯ Articles from the surgical literature with the highest levels of evidence are analyzed. Practical guidelines for treatment choice are proposed.

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- C Mariette, G Piessen, and C Vons.
- Service de chirurgie digestive et générale, hôpital C.-Huriez, CHRU - Lille. c-mariette@chru-lille.fr
- J Chir (Paris). 2008 Dec 1; 145 Spec no. 4: 12S21-12S29.
AbstractLymph node invasion is the principal prognostic factor in cancers of the stomach and esophagus which have a tendency to early lymphatic spread.The anatomy of regional lymph node groupings is described and standard and extended types of lymphadenectomy are defined. We discuss he role of lymph node dissection - particularly extended lymphadenectomy - and assess whether there is demonstrable benefit in terms of morbidity and mortality, loco-regional recurrence, and survival. Articles from the surgical literature with the highest levels of evidence are analyzed. Practical guidelines for treatment choice are proposed.

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[Lymphadenectomy in surgery for cancers of the stomach and esophagus].

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