Risk factors and clinical significance of lower perigastric lymph node metastases in Siewert type II and III esophagogastric junction adenocarcinoma: a retrospective cohort study.
Xinyu QiMaoxing LiuKai XuFei TanPin GaoZhendan YaoNan ZhangHong YangChenghai ZhangJiadi XingMing CuiXiang-Qian SuPublished in: Surgical endoscopy (2024)
LPLN metastases was a malignant factor for the prognosis of patients with Siewert type II and III AEG. For patients with preoperative CEA ( +), pT4 stage, HER-2 ( +), and the distance from the EGJ to the distal end of the tumor (> 4.0 cm), TG with LPLN dissection is prioritized for clinical recommendation.