河南科技大学学报（医学版）2016，Vol.34Issue(4)：269-271,3.DOI:10.15926/j.cnki.issn1672-688x.2016.04.009
食管癌左颈胸二切口根治术腹腔淋巴结转移情况调查
Investigation of Abdominal Lymph Node Metastasis in Radical Operation of Esophageal Cancer with 2-incision Esophagectomy Via Left Thoracic-cervical Pathway
曹建伟 1耿明飞 1朱东山 1黄晓宇 1周福有 1胡崇明1
作者信息
摘要
Abstract
Objective To investigate abdominal lymph node metastasis in esophageal carcinoma and its correlation factors. Methods A total of 221 patients with esophageal cancer underwent radical operation were enrolled between January 2012 to December 2013 . All the patients were operated with 2-incision esophagectomy via left thoracic-cervical pathway and three-field lymphadenectomy. The abdominal lymph node metastasis and its correlation factors were analyzed. Results All of the 221 cases, the abdominal lymph node metastasis was 25 . 34% ( 56/221 ) . 1 121 lymph nodes were cleaned in abdominal lymphadenectomy, metastatic lymph nodes were 11. 51% (129/1 121). There was a significant difference in the rate of the abdominal lymph node metastasis of thoracic esophageal carcinoma in different locations ( P<0 . 05 ) . The lower location of the lesion had the higher rate of the abdominal lymph node metastasis . The T stage of TNM and lesion length were correlation with the abdominal lymph node metastasis ( all P<0 . 05 ) . Conclusion The rate of the abdominal lymph node metastasis was higher in patients with esophageal cancer, and the lymphadenectomy was required in esophagectomy. 2-incision esophagectomy via left thoracic-cervical pathway could achieve a thorough lymph node dissection.关键词
食管癌/腹腔淋巴结/淋巴结转移Key words
esophageal cancer/abdominal lymph node/lymph node metastasis分类
医药卫生引用本文复制引用
曹建伟,耿明飞,朱东山,黄晓宇,周福有,胡崇明..食管癌左颈胸二切口根治术腹腔淋巴结转移情况调查[J].河南科技大学学报（医学版）,2016,34(4):269-271,3.
