摘要
目的 :探讨胸段食管癌淋巴结转移规律性。方法 :2 0 0 0年 3月— 2 0 0 1年 6月 ,采用右后胸、颈、腹三切口施行三野淋巴结清扫食管癌根治术治疗胸段食管癌 10 0例。结果 :医院内无手术死亡。全组病人淋巴结转移率5 4% ,颈、纵隔、腹腔淋巴结转移率分别为 31%、34 %、2 6 % ,颈淋巴结转移率与原发肿瘤浸润深度无明显相关。在颈淋巴结转移中 ,双侧颈喉返神经旁淋巴结转移明显高于锁骨上区淋巴结。结论 :①胸段食管癌易发生纵隔、颈部、腹腔淋巴结转移 ;②胸段食管癌浸润早期即可发生颈淋巴结转移 ;
Purpose:To explore the regularity of lymph node metastasis in thoracic esophageal carcinoma.Methods:From March 2000 to June 2001,100 patients with thoracic esophageal carcinoma underwent radical esophagectomy with three field lymphadenectomy. Dissection was done through a right lateral thoracotomy followed by repositioning and simultaneous laparotomy and neck incision. Results:The hospital mortality rate was 0%.Nodal metastases occurred in 54% (54/100) of patients. The rate of metastasis to neck, mediastinum and abdomen were 31%, 34% and 26%. Cervical nodal metastasis was not correlated with the depth of tumor penetration. There was a higher frequency in nodal metastasis near the bilateral recurrent laryngeal nerves than that in the bilateral supraclavicular region. Conclusions:①Neck, mediastinum and abdomen nodal metastases occurred frequenthy in thoracic esophageal carcinoma. ②Cervical nodal metastasis could occur in early stage of tumor infiltration.③Cervical lymphadenectomy was a very important factor for accurate staging of thoracic esophageal cancer.
出处
《中国癌症杂志》
CAS
CSCD
2001年第5期423-424,共2页
China Oncology
关键词
胸段食管癌
淋巴结转移
外科手术
转移规律性
thoracic esophageal carcinoma
lymph node metastasis
surgical therapy
