Efficacy of mediastinal lymphadenectomy in transhiatal esophagectomy with and without diaphragm opening: a cadaveric study

Efficacy of mediastinal lymphadenectomy in transhiatal esophagectomy with and without diaphragm opening: a cadaveric study

Autor Herbella, FAM Google Scholar
Del Grande, J. C. Google Scholar
Colleoni Neto, Ramiro Autor UNIFESP Google Scholar
Instituição Universidade Federal de São Paulo (UNIFESP)
Resumo Transhiatal esophagectomy (THE) is believed to induce a lower morbidity and mortality compared with transthoracic esophagectomy, but to be inefficient in performing mediastinal lymphadenectomy. Some surgeons are convinced that lymphadenectomy of the lower mediastinum in the and transthoracic esophagectomy are equivalent. To test this, the authors performed the in 20 cadavers (10 with and 10 without diaphragm opening). the number of lymph nodes resected with the esophagus and dissected through the hiatus was counted. After THE, the thorax was opened and the number of residual lymph nodes was evaluated. Complications were also assessed. the results show that lymphadenectomy in the is incomplete in the lower mediastinum and not possible in the upper mediastinum; comparing the with and without diaphragm opening, the first permits resection of a superior number of lymph nodes with the esophagus and dissection of a higher number of nodes through the hiatus. It is concluded that the does not provide an effective mediastinal lymphadenectomy.
Idioma Inglês
Data de publicação 2002-01-01
Publicado em Diseases of the Esophagus. Carlton: Blackwell Publishing Asia, v. 15, n. 2, p. 160-162, 2002.
ISSN 1120-8694 (Sherpa/Romeo, fator de impacto)
Publicador Blackwell Publishing Asia
Extensão 160-162
Fonte http://dx.doi.org/10.1046/j.1442-2050.2002.00247.x
Direito de acesso Acesso restrito
Tipo Artigo
Web of Science WOS:000177951500012
Endereço permanente http://repositorio.unifesp.br/handle/11600/26712

Exibir registro completo




Arquivo

Arquivo Tamanho Formato Visualização

Não existem arquivos associados a este item.

Este item está nas seguintes coleções

Buscar


Navegar

Minha conta