Node status in transmural esophageal adenocarcinoma and outcome after en bloc esophagectomy John J. Nigro, MD, Steven R. DeMeester, MD, Jeffrey A. Hagen,

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Presentation transcript:

Node status in transmural esophageal adenocarcinoma and outcome after en bloc esophagectomy John J. Nigro, MD, Steven R. DeMeester, MD, Jeffrey A. Hagen, MD, Tom R. DeMeester, MD, Jeffrey H. Peters, MD, Milton Kiyabu, MD, Guilherme M.R. Campos, MD, Stefan Öberg, MD, Otavio Gastal, MD, Peter F. Crookes, MD, Cedric G. Bremner, MD The Journal of Thoracic and Cardiovascular Surgery Volume 117, Issue 5, Pages 960-968 (May 1999) DOI: 10.1016/S0022-5223(99)70377-6 Copyright © 1999 Mosby, Inc. Terms and Conditions

Fig. 1 Boundaries of our standard en bloc resection. The Journal of Thoracic and Cardiovascular Surgery 1999 117, 960-968DOI: (10.1016/S0022-5223(99)70377-6) Copyright © 1999 Mosby, Inc. Terms and Conditions

Fig. 2 Lymph nodes routinely removed with thoracic and abdominal lymphadenectomy. Location code: 1 = lower paratracheal; 2 = subcarinal; 3 = paraesophageal; 4 = parahiatal; 5 = splenic hilum; 6 = splenic artery; 7 = greater curve; 8 = lesser curve; 9 = left gastric; 10 = hepatic; 12 = portal; 13 = right gastric; 14 = retropancreatic. The Journal of Thoracic and Cardiovascular Surgery 1999 117, 960-968DOI: (10.1016/S0022-5223(99)70377-6) Copyright © 1999 Mosby, Inc. Terms and Conditions

Fig. 3 The frequency of nodal metastases by node location for patients with transmural adenocarcinoma located at the gastroesophageal junction and distal esophagus who underwent en bloc esophagectomy. The Journal of Thoracic and Cardiovascular Surgery 1999 117, 960-968DOI: (10.1016/S0022-5223(99)70377-6) Copyright © 1999 Mosby, Inc. Terms and Conditions

Fig. 4 Actuarial survival for patients with transmural esophageal adenocarcinoma stratified by the number of lymph node metastases. The Journal of Thoracic and Cardiovascular Surgery 1999 117, 960-968DOI: (10.1016/S0022-5223(99)70377-6) Copyright © 1999 Mosby, Inc. Terms and Conditions

Fig. 5 Actuarial survival for patients with transmural esophageal adenocarcinoma stratified by the ratio of involved to total number of removed lymph nodes. The Journal of Thoracic and Cardiovascular Surgery 1999 117, 960-968DOI: (10.1016/S0022-5223(99)70377-6) Copyright © 1999 Mosby, Inc. Terms and Conditions