摘要
对食管癌进行系统性的淋巴结清扫有助于提高手术切除的根治率和手术病理分期的准确性,改善外科治疗的长期效果,但也存在手术并发症增高的风险和对术后生活质量的影响。通过科学的临床研究合理选择清扫范围、在保证手术彻底性的同时减少淋巴结清扫的负面影响是进一步改进疗效的关键。
Extended lymph node dissection helps increase the radical resection rate, the accuracy of surgical-pathological staging, and the distant prognosis of thoracic esophageal carcinoma. However, it is also associated with significantly increased surgical morbidity and has noticeable negative effects on the quality of life after surgery. Selective lymph node dissection based on clinical evidences is helpful in reducing surgical risks while assuring the completeness of resection.
出处
《中国癌症杂志》
CAS
CSCD
2008年第5期345-349,共5页
China Oncology
关键词
食管肿瘤
淋巴转移
手术
颈清扫
术后并发症
esophageal neoplasms
lymphatic metastasis
surgery, neck dissection
postoperative complications