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World J Gastroenterol. Dec 21, 2014; 20(47): 17970-17975
Published online Dec 21, 2014. doi: 10.3748/wjg.v20.i47.17970
Published online Dec 21, 2014. doi: 10.3748/wjg.v20.i47.17970
Effect of bilateral supraclavicular postoperative radiotherapy in middle and lower thoracic esophageal carcinoma
Yi Ren, Yang Zhou, Xiang Zhao, Cheng-Liang Yang, Yong-Yu Liu, Department of Thoracic Surgery, Liaoning Cancer Hospital and Institute, Dalian Medical University Clinical Oncology College, Shenyang 110042, Liaoning Province, China
Chang Su, Department of Ultrasound Diagnosis, People’s Hospital of Liaoning Province, Shenyang 110016, Liaoning Province, China
Author contributions: Ren Y and Liu YY designed research; Zhao X performed research; Su C contributed new reagents or analytic tools; Zhou Y analyzed data; Ren Y and Yang CL wrote the paper.
Supported by grant from Doctoral Startup Project of Liaoning Provincial Science and Technology Department, No. 20121133
Correspondence to: Yong-Yu Liu, Professor, Department of Thoracic Surgery, Liaoning Cancer Hospital and Institute, Dalian Medical University Clinical Oncology College, 44 Xiaoheyan Road, Dadong District, Shenyang 110042, Liaoning Province, China. l24315516@sina.com
Telephone: +86-24-31916213 Fax: +86-24-24315679
Received: August 24, 2014
Revised: September 25, 2014
Accepted: October 21, 2014
Published online: December 21, 2014
Revised: September 25, 2014
Accepted: October 21, 2014
Published online: December 21, 2014
Core Tip
Core tip: Three-field lymphadenectomy is currently a focus in esophageal surgery. According to the patterns of lymph node metastasis, understanding of the lymph node status in the middle and lower recurrent laryngeal nerve region may predict the status of cervical lymph nodes. In patients who have received thoracic and abdominal lymphadenectomy, if lymph node metastasis of recurrent laryngeal nerve is indicated it will be especially important to subsequently treat cervical lymph nodes. Additional cervical lymphadenectomy is always performed clinically in this case. In this article, we discuss whether cervical surgical procedures can be replaced by radiotherapy.