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Lymphadenektomie

  • W. F. A. Hiller
Part of the Onkologie aktuell book series (ONKAKTUELL)

Zusammenfassung

Die systematische Entfernung allen lymphatischen Gewebes der Region um den Primärtumor ist integraler Bestandteil der modernen onkologischen Chirurgie. Sie erlaubt ein exaktes Staging und führt somit insbesondere bei Tumoren, bei denen multimodale Therapieformen zur Anwendung gelangen, zu einem adäquaten stadienadaptierten Behandlungskonzept für den betroffenen Patienten.

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Literatur

  1. Akiyama H, Tsurumaru M, Udagawa H, Kajiyama Y (1994a) Radical lymph node dissection for esophageal cancer-effective or not? Dis Esoph 7:2–13Google Scholar
  2. Akiyama H, Tsurumaru M, Udagawa H, Kajiyama Y (1994b): Radical lymph node dissection for cancer of the thoracic esophagus. Ann Surg 220:364–373PubMedCrossRefGoogle Scholar
  3. Arbeitsgemeinschaft der wissenschaftlichen medizinischen Fachgesellschaften (AWMF) (2000) Kurzgefasste interdisziplinäre Leitlinien. B3:107.http://www.uni-duesseldorf.de/AWMF/ll/cho-oesk.htm Google Scholar
  4. Baba M, Aikou T, Yoshinaka H et al. (1994) Long-term results of subtotal esophagectomy with three-field lymphadenectomy for carcinoma of the thoracic esophagus. Ann Surg 219:310–316PubMedCrossRefGoogle Scholar
  5. Bonavina L (1995) Early oesophageal cancer:Results of a European multicentric survey. Br J Surg 82:98–101PubMedCrossRefGoogle Scholar
  6. Bumm R, Wong J (1994) More or less surgery for esophageal cancer: Extent of lymphadenectomy in esophagectomy for squamous cell esophageal carcinoma: How much is necessary? Dis Esoph 7: 151–155Google Scholar
  7. Chu KM, Law SY Fok M, Wong J (1997) A prospective randomized comparison of transhiatal and transthoracic resection for lower third esophageal carcinoma. Am J Surg 174:320–324PubMedCrossRefGoogle Scholar
  8. Feinstein AR, Daniel MD, Sosni M, Wells CK (1985) The Will Rogers phenomenon: Stage migration and new diagnostic techniques as a source of misleading statistics for survival in cancer. N Engl J Med 312:1604–1608PubMedCrossRefGoogle Scholar
  9. Fujita H, Kakegawa T, Yamana H, Shima I (1994) Lymph node compartments as guidelines for lympadenectomy for esophageal carcinoma. Dis Esoph 7:169–178Google Scholar
  10. Fumagalli U, Panel of Experts (1996) Resective surgery for cancer of the thoracic esophagus. Results of a consensus conference. Dis Esoph 9:9–13Google Scholar
  11. Goldminc M, Maddern G, LePrise E et al. (1993) Oesophagectomy by a transiatal approach orthoracotomy;a prospective randomized trial. Br J Surg 80:367–370PubMedCrossRefGoogle Scholar
  12. Hankins JR, Attar S, Coughlin TR Jr et al. (1989) Carcinoma of the esophagus: A comparision of the results of transhiatal versus transthoracic resection. Ann Thorac Surg 47:700–705PubMedCrossRefGoogle Scholar
  13. Horstmann O, Verreet PR, Becker H, Ohmann C, Röher H-D (1995) Transhiatal oesophagectomy compared with transthoracic resection and systematic lymphadenectomy for the treatment of oesophageal cancer. Eur J Surg 161:557–567PubMedGoogle Scholar
  14. Hulscher JFB, Tijssen JPG, Obertop H, van Lanschot JJB (2001) Transthoracic versus transhiatal resection for carcinoma of the esophagus: A meta-analysis. Ann Thorac Surg 72:306–13PubMedCrossRefGoogle Scholar
  15. Ide H, Nakamura T, Hayashi K et al. (1994) Esophageal squamous cell carcinoma: pathology and prognosis. World J Surg 18:321–330PubMedCrossRefGoogle Scholar
  16. Isono K, Sato H, Nakayama K (1991) Results of a nationwide study on the three-field lymph node dissection of esophageal cancer. Oncology 38:411–420CrossRefGoogle Scholar
  17. Jacobi CA, Zieren HU, Müller M, Pichlmaier H (1997) Surgical therapy of esophageal carcinoma: the influence of surgical approach and esophageal resection on cardiopulmonary function. Eur J Cardiothorac Surg 11:32–37PubMedCrossRefGoogle Scholar
  18. Junginger T, Dutkowski P (1996) Selective approach to the treatment of oesophageal cancer. Br J Surg 83:1473–1477PubMedCrossRefGoogle Scholar
  19. Lanschot JJB, Tilanus HW, Voormolen MHJ, Deelen RAJ (1994) Recurrence pattern of oesophageal carcinoma after limited resection does not support wide local excision with extensive lymph node dissection. Br J Surg; 81:1320–1323PubMedCrossRefGoogle Scholar
  20. Lerut T, DeLeyn P, Coosemans W et al. (1992) Surgical strategies in esophageal carcinoma with emphasis on radical lymphadenectomy. Ann Surg 216:583–590PubMedCrossRefGoogle Scholar
  21. Nishihira T, Hirayama K, Mori S (1998) A prospective randomized trial of extended cervical and superior mediastinal lymphadenectomy for carcinoma of th thoracic esophagus. Am J Surg 175:47–51PubMedCrossRefGoogle Scholar
  22. Putnam JB, Suell DM, McMurtrey JM (1994) Comparison of three techniques of esophagectomy within a residency training program. Ann Thorac Surg 57:319–325PubMedCrossRefGoogle Scholar
  23. Siewert JR, Sendler A, Fink U (2001) Ösophaguskarzinom. In:Siewert JR (Hrsg) Praxis der Viszeralchirurgie: onkologische Chirurgie. Springer, Berlin Heidelberg New York Tokio, S407–437Google Scholar
  24. Siewert JR, Stein HJ (1999a) Lymph-node dissection in squamous cell esophageal cancer-who benefits? Langenbecks Arch Surg 384: 141–148PubMedCrossRefGoogle Scholar
  25. Siewert JR, Stein HJ (1999b) Lymphadenectomy for esophageal cancer. Langenbecks Arch Surg 384:141–148PubMedCrossRefGoogle Scholar
  26. Siewert JR, Stein HJ, Böttcher K (1996) Lymphadenektomie bei Tumoren des oberen Gastrointestinaltraktes. Chirurg 67:877–888PubMedCrossRefGoogle Scholar
  27. Stein HJ, Feith M, Müller J, Werner M, Siewert JR (2000) Limited resection for early Barrett’s cancer. Ann Surg 232:733–742PubMedCrossRefGoogle Scholar
  28. Svanes K, Stangeland L, Viste A et al. (1995) Morbidity, ability to swallow, and survival, after oesophagectomy for cancer of the oesophagus and cardia. Eur J Surg 161:669–675PubMedGoogle Scholar
  29. Watson A (1994) Operable esophageal cancer: current results from the West. World J Surg 18:361–366PubMedCrossRefGoogle Scholar
  30. Wong J (1993):Surgery in esophageal cancer: How radical should it be? Dig Surg 10:164–166CrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2004

Authors and Affiliations

  • W. F. A. Hiller
    • 1
  1. 1.Klinik für Viszeral-und ThoraxchirurgieKlinikum Lippe-DetmoldDetmoldGermany

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