Lymphadenektomie bei Malignomen des oberen Gastrointestinaltraktes

摘要: Studies from specialized and high volume centers revealed an improved overall survival for patients subjected to extended lymphadenectomy. The drawbacks of radical lymph node dissection seem be represented in higher rates morbidity mortality thus are correlated the surgical expertise respective institution. Especially early stages metastatic spread benefit more In a retrospective analysis this institution's own patients, pN0 category pT stage amount retrieved nodes have been found independent prognostic factors. with up six positive (pN1) stage, number nodes, R prognosis. If than invaded only relevant It will upmost interest compare these data analyses regional national cancer registers gastric esophageal cancer. As so far no reliable procedure preoperative determination lymphatic exists, recommendations by research organizations adopted until further notice, which is D2 lymphadenectomy locally advanced 2-field cancer.Due complication lymphadenectomy, it recommended that procedures performed corresponding experience.