RT Book, Section
A1 Tsurumaru, Masahiko
A1 Kajiyama, Yoshiaki
A1 Iwanuma, Yoshimi
A1 Udagawa, Harushi
A1 Akiyama, Hiroshi
A2 Sugarbaker, David J.
A2 Bueno, Raphael
A2 Burt, Bryan M.
A2 Groth, Shawn S.
A2 Loor, Gabriel
A2 Wolf, Andrea S.
A2 Williams, Marcia
A2 Adams, Ann
SR Print(0)
ID 1170406525
T1 Three-Field Esophagectomy
T2 Sugarbaker’s Adult Chest Surgery, 3e
YR 2020
FD 2020
PB McGraw-Hill Education
PP New York, NY
SN 9781260026931
LK accesssurgery.mhmedical.com/content.aspx?aid=1170406525
RD 2024/04/20
AB The  esophagus  traverses  the  neck,  mediastinum,  and  abdomen.  Cancer  of  the  thoracic  esophagus  can  metastasize  to  lymph  nodes  and  locate  in  any  or  all  of  these  compartments.1  The  rate  of  lymph  node  involvement  is  very  high.  Approximately  50%  of  tumors  that  invade  the  submucosa  develop  lymph  node  metastases,  and  the  rate  increases  with  increasing  depth  of  invasion.  Radical  surgery  for  esophageal  cancer  therefore  requires  three-field  lymphadenectomy.  Our  group  has  been  performing  three-field  lymph  node  dissections  since  1984  for  all  thoracoesophageal  cancers.  In  this  chapter  we  lay  down  the  principles,  describe  the  procedure,  and  discuss  the  outcome  of  this  mode  of  treatment  based  on  our  experience.