Advantageous factors of R0 curative conversion esophagectomy and the optimal extent of lymphadenectomy after induction therapy for cT4b thoracic esophageal cancer.
Yu OhkuraMasaki UenoHarushi UdagawaPublished in: Annals of gastroenterological surgery (2020)
R0 resection led to improved prognosis in conversion esophagectomy for cT4b esophageal cancer. The T4b tumor invasion by primary site and time to conversion surgery from start of induction therapy within 4 months were independent advantageous factors of R0 curative resection. In addition, standard radical esophagectomy including prophylactic D2-/3- lymphadenectomy should be performed if it is possible, while taking adequate care regarding the increased risk after induction therapy.
Keyphrases
- robot assisted
- minimally invasive
- computed tomography
- early stage
- lymph node
- image quality
- dual energy
- lymph node metastasis
- sentinel lymph node
- spinal cord
- palliative care
- positron emission tomography
- prognostic factors
- coronary artery bypass
- radiation therapy
- magnetic resonance imaging
- magnetic resonance
- mesenchymal stem cells
- coronary artery disease
- neoadjuvant chemotherapy
- acute coronary syndrome
- bone marrow
- percutaneous coronary intervention
- replacement therapy