Esophageal Carcinoma Category

Thoracoscopic lymph node staging has been performed in 46 patients with biopsy specimen-proved carcinoma of the esophagus between June 1992 and June 1995. Laparoscopic lymph node staging was done in the last 20 patients as well. The former procedure was aborted in three patients because of adhesions. Thoracoscopic lymph node staging was NO in 40 […]

The patient is placed in the lateral decubitus position and intubated with a double-lumen endotracheal tube to allow one-lung ventilation. Three incisions are made, allowing a three-pronged approach with clear visualization of the entire thoracic cavity. We routinely use C02 insufflation to compress the underlying lung to assist in obtaining complete exposure. The entire chest […]

As many as 75% of esophageal carcinomas are full thickness (T3, T4) or involve lymph nodes (Nl) at the time of diagnosis. Mediastinal invasion by an esophageal carcinoma precludes safe resection. In two thirds of cases showing full-thickness tumors or lymphatic spread, the pathologic stage differs from the clinical stage. Surgical staging will avoid unnecessary […]

The incidence of esophageal cancer is one of the fastest growing. Lymph node stage is an important independent prognosticator in patients with esophageal cancer. Skinner et al stressed this importance using operative lymph node staging to determine the extent of resection. In almost all cases of esophageal cancer, the pattern of lymph node spread involves […]