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Ann Thorac Surg 1991;51:931-935
© 1991 The Society of Thoracic Surgeons
Department of Surgery, National Cancer Center Hospital, and National Oji Hospital, Tokyo, Japan
Accepted for publication December 28, 1990.
* Address reprint requests to Dr Kato, National Cancer Center Hospital, 1-1 Tsukiji 5-Chome, Chuo-ku, Tokyo, 104, Japan.
We studied a series of 150 patients treated for thoracic esophageal carcinoma at our institution. The patients were divided into two matched groups. Group B underwent transthoracic esophagectomy with mediastinal and abdominal lymphadenectomy only; group A also underwent bilateral neck lymph node dissection. The rates of operative mortality and operative complications did not differ significantly between the two groups. The 5-year survival rate was 38.7% overall (48.7% in group A and 33.7% in group B). Group A had a significantly better survival curve than group B. Twenty patients (26.0%) in group A had metastasis in the dissected neck lymph nodes. The 4-year survival rate of these patients was 47.9%. The significantly better survival of group A and the satisfactory prognosis in the patients with positive cervical lymph nodes demonstrates the effectiveness of neck lymph node dissection in radical operation for thoracic esophageal carcinoma.
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