Published online Dec 21, 2014. doi: 10.3748/wjg.v20.i47.17970
Revised: September 25, 2014
Accepted: October 21, 2014
Published online: December 21, 2014
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.