Jonathan C Yeung1, Manjit S Bains2, Arianna Barbetta2, Tamar Nobel2, Steven R DeMeester3, Brian E Louie4, Mark B Orringer5, Linda W Martin6, Rishindra M Reddy5, Francisco Schlottmann2, Daniela Molena7. 1. Division of Thoracic Surgery, Department of Surgery, University of Toronto, Toronto, ON, Canada. 2. Thoracic Service, Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, NY, USA. 3. Foregut and Thoracic Surgery, Division of Gastrointestinal and Minimally Invasive Surgery, The Oregon Clinic, Portland, OR, USA. 4. Division of Thoracic Surgery, Swedish Cancer Institute, Seattle, WA, USA. 5. Section of Thoracic Surgery, Department of Surgery, University of Michigan, Ann Arbor, MI, USA. 6. Division of Thoracic Surgery, University of Virginia School of Medicine, Charlottesville, VA, USA. 7. Thoracic Service, Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, NY, USA. molenad@mskcc.org.
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.
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.
Authors: Caitlin A Harrington; Rebecca A Carr; Meier Hsu; Kay See Tan; Smita Sihag; Prasad S Adusumilli; Manjit S Bains; Matthew J Bott; James M Isbell; Bernard J Park; Gaetano Rocco; Valerie W Rusch; David R Jones; Daniela Molena Journal: J Thorac Cardiovasc Surg Date: 2022-03-01 Impact factor: 6.439