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Annals of Surgical Oncology
Published in: Annals of Surgical Oncology 5/2023

23-01-2023 | Esophageal Cancer | Thoracic Oncology

Significance of Thoracic Duct Resection During Esophagectomy for Esophageal Squamous Cell Carcinoma

Author: Shingo Kanaji, MD, PhD

Published in: Annals of Surgical Oncology | Issue 5/2023

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Excerpt

For a long time, it has been controversial whether the thoracic duct (TD) should be resected or not for localized esophageal squamous cell carcinoma (ESCC) during esophagectomy. On the one hand, an increase in the number of dissected lymph nodes around TD leading to improved survival is mentioned as an advantage of TD resection.1 On the other hand, circulation instability, negative effect on nutritional status, and decreased immunity are listed as disadvantages.2,3 …
Literature
1.
Matsuda S, Takeuchi H, Kawakubo H, et al. Clinical outcome of transthoracic esophagectomy with thoracic duct resection: number of dissected lymph node and distribution of lymph node metastasis around the thoracic duct. Med Baltim. 2016;95:e3839.CrossRef
2.
Imamura M, Shimada Y, Kanda T, et al. Hemodynamic changes after resection of thoracic duct for en bloc resection of esophageal cancer. Surg Today. 1992;22:226–32.CrossRefPubMed
3.
Aiko S, Yoshizumi Y, Matsuyama T, et al. Influences of thoracic duct blockage on early enteral nutrition for patients who underwent esophageal cancer surgery. Jpn J Thorac Cardiovasc Surg. 2003;51:263–71.CrossRefPubMed
4.
Oshikiri T, Takiguchi G, Miura S, et al. Thoracic duct resection during esophagectomy does not contribute to improved prognosis in esophageal squamous cell carcinoma: a propensity score-matched cohort study. Ann Surg Oncol. 2019;26:4053–61.CrossRefPubMed
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Metadata
Title
Significance of Thoracic Duct Resection During Esophagectomy for Esophageal Squamous Cell Carcinoma
Author
Shingo Kanaji, MD, PhD
Publication date
23-01-2023
Publisher
Springer International Publishing
Published in
Annals of Surgical Oncology / Issue 5/2023
Print ISSN: 1068-9265
Electronic ISSN: 1534-4681
DOI
https://doi.org/10.1245/s10434-022-13060-4

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