%0 Journal Article
%A Torres García, Antonio José
%A Sánchez Pernaute, Andrés
%A Hernando Trancho, Florentino
%A Díez Valladares, Luis Ignacio
%A González López, Óscar
%A Pérez Aguirre, María Elia
%A Suárez, Ángel
%A Balibrea Cantero, José Luis
%T Two-field radical lymphadenectomy in the treatment of esophageal carcinoma
%D 1999
%@ 1120-8694
%U https://hdl.handle.net/20.500.14352/116220
%X This paper retrospectively compares post-operative complications, mortality and long-term survival of patients with esophageal carcinoma who were treated with standard esophagectomy or with extended two-field lymph node clearance. Fifty-seven patients with resectable esophageal carcinoma were included in the study, Twenty-eight patients were submitted to a radical two-field esophagectomy and lymphadenectomy, while the remaining 29 were submitted to a standard, more conservative, esophagectomy performed mostly through a transhiatal route. The two groups of patients were similar in all clinical, laboratory and pathologic features, There was a significant lower anastomotic leakage rate in the group of patients submitted to a radical lymphnode resection; post-operative respiratory complication rate and mortality were similar in both groups. The overall 5-year survival was 20%, When lymph node resection was performed, the 5-year survival rate rose to 36%; it was 44% when nodal involvement was negative and 19% for N1 patients; when standard esophagectomy was the procedure, these figures were 9% (p < 0.05), 16% and 6% respectively.
%~