Wu J, Chai Y, Zhou XM, Chen QX, Yan FL. Ivor Lewis subtotal esophagectomy with two-field lymphadenectomy for squamous cell carcinoma of the lower thoracic esophagus. World J Gastroenterol 2008; 14(32): 5084-5089 [PMID: 18763294 DOI: 10.3748/wjg.14.5084]
Corresponding Author of This Article
Jie Wu, MD, Department of Thoracico-abdominal Surgery, Zhejiang Cancer Hospital, 38 Guangji Road, Bangshan, Hangzhou 310022, Zhejiang Province, China. wujiephd729@126.com
Article-Type of This Article
Rapid Communication
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World J Gastroenterol. Aug 28, 2008; 14(32): 5084-5089 Published online Aug 28, 2008. doi: 10.3748/wjg.14.5084
Table 1 Postoperative pathological staging in 73 patients with esophageal carcinoma
Stage
TNM
Patients, n (%)
I(n = 5)
T1N0M0
5 (6.8)
IIa (n = 16)
T2N0M0
7 (9.6)
T3N0M0
9 (12.3)
IIb (n = 19)
T1N1M0
3 (4.1)
T2N1M0
15 (20.5)
III (n = 32)
T3N1M0
29 (39.7)
T4N1M0
3 (4.1)
IV (n = 2)
T3N1M1
2 (2.7)
Table 2 Postoperative complications in 73 patients with esophageal carcinoma n (%)
Complications
Patients
Patients died
Pneumonia
4 (5.5)
1 (1.4)
Vocal cord palsy
3 (4.1)
0 (0)
Arrhythmia
3 (4.1)
0 (0)
Anastomotic leakage
2 (2.7)
1 (1.4)
Postoperative bleeding
1 (1.4)
0 (0)
Wound infection
1 (1.4)
0 (0)
Table 3 Relation between depth of tumor infiltration (T) and lymph node metastasis (N)
T
N0
N1
Prevalence of nodal metastases (%)
T1 (n = 8)
5
3
37.5
T2 (n = 22)
7
15
68.2
T3 (n = 40)
9
31
77.5
T4 (n = 3)
0
3
100
Table 4 Distribution of lymph node metastatic locations
Metastatic location
Patients with negative lymph node (n)
Patients with positive lymph node (n)
Frequency of nodal metastases (%)
Upper mediastinum
60
13
17.8
Middle mediastinum
58
15
20.5
Lower mediastinum
43
30
41.1
Upper abdomen
48
25
34.2
Citation: Wu J, Chai Y, Zhou XM, Chen QX, Yan FL. Ivor Lewis subtotal esophagectomy with two-field lymphadenectomy for squamous cell carcinoma of the lower thoracic esophagus. World J Gastroenterol 2008; 14(32): 5084-5089