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Limited Versus Extended Lymphadenectomy

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Innovation in Esophageal Surgery

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Abstract

The main aims of surgery for oesophageal cancer resection are to prolong survival, achieve long-term cure and minimise the chances of locoregional disease recurrence. The primary tumour and surrounding tissues including the relevant lymphatic drainage fields are therefore removed during oesophagectomy with extended lymphadenectomy. Limited lymphadenectomy is defined as the removal of peritumoural lymph nodes immediately adjacent to the resected part of the oesophagus or stomach. This chapter discusses the effects of the extent of lymphadenectomy on staging, locoregional disease recurrence and long-term survival. It gives additional consideration to lymphadenectomy in the context of mucosal disease. The chapter also highlights some of the problems with definitions in published literature and the non-standardised processing of specimens.

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Author information

Authors and Affiliations

  1. Northern Oesophago-Gastric Cancer Unit, Royal Victoria Infirmary, Queen Victoria Road, Newcastle upon Tyne, NE1 4LP, UK

    S. Michael Griffin & Shajahan Wahed

Authors
  1. S. Michael Griffin
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  2. Shajahan Wahed
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Correspondence to S. Michael Griffin .

Editor information

Editors and Affiliations

  1. , Department ofSurgery, IRCCS Policlinico San Donato, San Donato Milanese (Mi), Italy

    Luigi Bonavina

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© 2012 Springer-Verlag Italia

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Griffin, S.M., Wahed, S. (2012). Limited Versus Extended Lymphadenectomy. In: Bonavina, L. (eds) Innovation in Esophageal Surgery. Springer, Milano. https://doi.org/10.1007/978-88-470-2469-4_10

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  • DOI: https://doi.org/10.1007/978-88-470-2469-4_10

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  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-2468-7

  • Online ISBN: 978-88-470-2469-4

  • eBook Packages: MedicineMedicine (R0)

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