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Surgical Treatment for Superficial Esophagogastric Junction Cancer Yukinori Kurokawa 1 , Tadayoshi Hashimoto 1 , Koji Tanaka 1 , Yasuhiro Miyazaki 1 , Tomoki Makino 1 , Tsuyoshi Takahashi 1 , Makoto Yamasaki 1 , Kiyokazu Nakajima 1 , Shuji Takiguchi 1 , Masaki Mori 1 , Yuichiro Doki 1 1Department of Gastroenterological Surgery, Osaka University Graduate School of Medicine, Suita, Japan Keyword: 食道胃接合部癌 , 表在型 , リンパ節郭清 , 右開胸 , 経裂孔 pp.347-352
Published Date 2017/3/25
DOI https://doi.org/10.11477/mf.1403200858
  • Abstract
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 Esophagogastric junction cancer entails two directions of lymphatic flow toward the mediastinum and the abdomen ; therefore, both the mediastinal and abdominal lymph nodes should be dissected. The results of a multi-institutional retrospective study in Japan suggest an algorithm showing the fields of lymph node dissection for esophagogastric junction cancer as follows:abdominal nodes for superficial tumors with the center of the tumor located below the esophagogastric junction ; abdominal and lower mediastinal nodes for superficial adenocarcinoma with the center of the tumor located on or above the esophagogastric junction ; and abdominal and lower/middle mediastinal nodes for superficial squamous cell carcinoma. A multi-institutional prospective study is ongoing in Japan with the collaboration of the Japanese Gastric Cancer Association and the Japan Esophageal Society, which will lead to the establishment of the field of lymph node dissection based on more accurate data for patients with esophagogastric junction cancer.


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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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