Is complete right cervical paraesophageal lymph node dissection possible in the prone position during thoracoscopic esophagectomy? View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2019-04-03

AUTHORS

Daisuke Yagi, Hisahiro Hosogi, Shin Akagawa, Hironori Kawada, Norihiro Shimoike, Seiichiro Kanaya

ABSTRACT

BACKGROUND: Effective treatment of esophageal cancer requires dissection of the regional lymph nodes (LNs) from the cervical to the abdominal area. In this study, we hypothesized that adequate no. 101R dissection is achieved through a thoracoscopic approach in the prone position. METHODS: The study cohort was limited to 42 patients who underwent thoracoscopic subtotal esophagectomy with bilateral cervical lymphadenectomy for thoracic esophageal cancer between January 2015 and March 2017. The number of LNs and the incidence of metastasis were analyzed. During the proposed thoracoscopic procedure, cervical paraesophageal LNs were dissected continuously, with the LNs surrounding the recurrent laryngeal nerve (RLN; no. 106rec) as an en bloc resection. In this study, LNs that required further picking up via a cervical incision were defined as no. 101. The recurrent sites among the consecutive patients during the 3-year follow-up, for whom bilateral cervical lymphadenectomy was omitted for lower and middle thoracic tumors between 2012 and 2014, were analyzed further. RESULTS: The data of 42 patients were analyzed. The lymphatic tissues dorsal to the right cervical RLN were almost completely dissected via thoracoscopy. A median of 0 (0-6) LNs were ventral to the right RLN (no. 101R) and no LN metastasis was observed. There were no lymph nodes in 27 patients (64%). By contrast, there was a median of 1(0-10) no. 101L nodes, and LN metastasis was observed in two patients (4.7%). The numbers of LNs at no. 106recR and no. 106recL were 3 (0-9) and 2(0-13), respectively, and the corresponding numbers of patients with metastases at these sites were 11(26%) and 5(12%), respectively. Among the 33 patients who completed the 3-year follow-up, 9 patients developed recurrence, but none involved 101R LNs. CONCLUSIONS: There were no residual LNs in the area ventral to the right cervical RLN in 64% of the patients who underwent additional cervical lymphadenectomy after the right thoracoscopic approach in the prone position. Further studies with larger patient cohort or randomization are required to confirm our results. More... »

Journal

TITLE

Esophagus

ISSUE

N/A

VOLUME

N/A

Author Affiliations

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s10388-019-00664-1

DOI

http://dx.doi.org/10.1007/s10388-019-00664-1

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1113182468

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/30945097


Indexing Status Check whether this publication has been indexed by Scopus and Web Of Science using the SN Indexing Status Tool
Incoming Citations Browse incoming citations for this publication using opencitations.net

JSON-LD is the canonical representation for SciGraph data.

TIP: You can open this SciGraph record using an external JSON-LD service: JSON-LD Playground Google SDTT

[
  {
    "@context": "https://springernature.github.io/scigraph/jsonld/sgcontext.json", 
    "about": [
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/1112", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Oncology and Carcinogenesis", 
        "type": "DefinedTerm"
      }, 
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/11", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Medical and Health Sciences", 
        "type": "DefinedTerm"
      }
    ], 
    "author": [
      {
        "affiliation": {
          "alternateName": "Osaka Red Cross Hospital", 
          "id": "https://www.grid.ac/institutes/grid.417000.2", 
          "name": [
            "Department of Surgery, Osaka Red Cross Hospital, 5-30 Fudegasakicho, Tennoji-ku, Osaka, 543-8555, Japan. 98093dy@jichi.ac.jp."
          ], 
          "type": "Organization"
        }, 
        "familyName": "Yagi", 
        "givenName": "Daisuke", 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Osaka Red Cross Hospital", 
          "id": "https://www.grid.ac/institutes/grid.417000.2", 
          "name": [
            "Department of Surgery, Osaka Red Cross Hospital, 5-30 Fudegasakicho, Tennoji-ku, Osaka, 543-8555, Japan."
          ], 
          "type": "Organization"
        }, 
        "familyName": "Hosogi", 
        "givenName": "Hisahiro", 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Osaka Red Cross Hospital", 
          "id": "https://www.grid.ac/institutes/grid.417000.2", 
          "name": [
            "Department of Surgery, Osaka Red Cross Hospital, 5-30 Fudegasakicho, Tennoji-ku, Osaka, 543-8555, Japan."
          ], 
          "type": "Organization"
        }, 
        "familyName": "Akagawa", 
        "givenName": "Shin", 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Osaka Red Cross Hospital", 
          "id": "https://www.grid.ac/institutes/grid.417000.2", 
          "name": [
            "Department of Surgery, Osaka Red Cross Hospital, 5-30 Fudegasakicho, Tennoji-ku, Osaka, 543-8555, Japan."
          ], 
          "type": "Organization"
        }, 
        "familyName": "Kawada", 
        "givenName": "Hironori", 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Osaka Red Cross Hospital", 
          "id": "https://www.grid.ac/institutes/grid.417000.2", 
          "name": [
            "Department of Surgery, Osaka Red Cross Hospital, 5-30 Fudegasakicho, Tennoji-ku, Osaka, 543-8555, Japan."
          ], 
          "type": "Organization"
        }, 
        "familyName": "Shimoike", 
        "givenName": "Norihiro", 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Osaka Red Cross Hospital", 
          "id": "https://www.grid.ac/institutes/grid.417000.2", 
          "name": [
            "Department of Surgery, Osaka Red Cross Hospital, 5-30 Fudegasakicho, Tennoji-ku, Osaka, 543-8555, Japan."
          ], 
          "type": "Organization"
        }, 
        "familyName": "Kanaya", 
        "givenName": "Seiichiro", 
        "type": "Person"
      }
    ], 
    "citation": [
      {
        "id": "https://doi.org/10.1046/j.1442-2050.2001.00166.x", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1032685448"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s10388-016-0551-7", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1033023690", 
          "https://doi.org/10.1007/s10388-016-0551-7"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s10388-016-0551-7", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1033023690", 
          "https://doi.org/10.1007/s10388-016-0551-7"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s00464-010-1072-4", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1034983354", 
          "https://doi.org/10.1007/s00464-010-1072-4"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s00464-010-1072-4", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1034983354", 
          "https://doi.org/10.1007/s00464-010-1072-4"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1111/dote.12527", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1041181280"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1111/dote.12527", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1041181280"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://app.dimensions.ai/details/publication/pub.1075012313", 
        "type": "CreativeWork"
      }
    ], 
    "datePublished": "2019-04-03", 
    "datePublishedReg": "2019-04-03", 
    "description": "BACKGROUND: Effective treatment of esophageal cancer requires dissection of the regional lymph nodes (LNs) from the cervical to the abdominal area. In this study, we hypothesized that adequate no. 101R dissection is achieved through a thoracoscopic approach in the prone position.\nMETHODS: The study cohort was limited to 42 patients who underwent thoracoscopic subtotal esophagectomy with bilateral cervical lymphadenectomy for thoracic esophageal cancer between January 2015 and March 2017. The number of LNs and the incidence of metastasis were analyzed. During the proposed thoracoscopic procedure, cervical paraesophageal LNs were dissected continuously, with the LNs surrounding the recurrent laryngeal nerve (RLN; no. 106rec) as an en bloc resection. In this study, LNs that required further picking up via a cervical incision were defined as no. 101. The recurrent sites among the consecutive patients during the 3-year follow-up, for whom bilateral cervical lymphadenectomy was omitted for lower and middle thoracic tumors between 2012 and 2014, were analyzed further.\nRESULTS: The data of 42 patients were analyzed. The lymphatic tissues dorsal to the right cervical RLN were almost completely dissected via thoracoscopy. A median of 0 (0-6) LNs were ventral to the right RLN (no. 101R) and no LN metastasis was observed. There were no lymph nodes in 27 patients (64%). By contrast, there was a median of 1(0-10) no. 101L nodes, and LN metastasis was observed in two patients (4.7%). The numbers of LNs at no. 106recR and no. 106recL were 3 (0-9) and 2(0-13), respectively, and the corresponding numbers of patients with metastases at these sites were 11(26%) and 5(12%), respectively. Among the 33 patients who completed the 3-year follow-up, 9 patients developed recurrence, but none involved 101R LNs.\nCONCLUSIONS: There were no residual LNs in the area ventral to the right cervical RLN in 64% of the patients who underwent additional cervical lymphadenectomy after the right thoracoscopic approach in the prone position. Further studies with larger patient cohort or randomization are required to confirm our results.", 
    "genre": "research_article", 
    "id": "sg:pub.10.1007/s10388-019-00664-1", 
    "inLanguage": [
      "en"
    ], 
    "isAccessibleForFree": false, 
    "isPartOf": [
      {
        "id": "sg:journal.1033355", 
        "issn": [
          "1612-9059", 
          "1612-9067"
        ], 
        "name": "Esophagus", 
        "type": "Periodical"
      }
    ], 
    "name": "Is complete right cervical paraesophageal lymph node dissection possible in the prone position during thoracoscopic esophagectomy?", 
    "productId": [
      {
        "name": "pubmed_id", 
        "type": "PropertyValue", 
        "value": [
          "30945097"
        ]
      }, 
      {
        "name": "nlm_unique_id", 
        "type": "PropertyValue", 
        "value": [
          "101206627"
        ]
      }, 
      {
        "name": "doi", 
        "type": "PropertyValue", 
        "value": [
          "10.1007/s10388-019-00664-1"
        ]
      }, 
      {
        "name": "dimensions_id", 
        "type": "PropertyValue", 
        "value": [
          "pub.1113182468"
        ]
      }
    ], 
    "sameAs": [
      "https://doi.org/10.1007/s10388-019-00664-1", 
      "https://app.dimensions.ai/details/publication/pub.1113182468"
    ], 
    "sdDataset": "articles", 
    "sdDatePublished": "2019-04-11T13:56", 
    "sdLicense": "https://scigraph.springernature.com/explorer/license/", 
    "sdPublisher": {
      "name": "Springer Nature - SN SciGraph project", 
      "type": "Organization"
    }, 
    "sdSource": "s3://com-uberresearch-data-dimensions-target-20181106-alternative/cleanup/v134/2549eaecd7973599484d7c17b260dba0a4ecb94b/merge/v9/a6c9fde33151104705d4d7ff012ea9563521a3ce/jats-lookup/v90/0000000371_0000000371/records_130814_00000006.jsonl", 
    "type": "ScholarlyArticle", 
    "url": "http://link.springer.com/10.1007/s10388-019-00664-1"
  }
]
 

Download the RDF metadata as:  json-ld nt turtle xml License info

HOW TO GET THIS DATA PROGRAMMATICALLY:

JSON-LD is a popular format for linked data which is fully compatible with JSON.

curl -H 'Accept: application/ld+json' 'https://scigraph.springernature.com/pub.10.1007/s10388-019-00664-1'

N-Triples is a line-based linked data format ideal for batch operations.

curl -H 'Accept: application/n-triples' 'https://scigraph.springernature.com/pub.10.1007/s10388-019-00664-1'

Turtle is a human-readable linked data format.

curl -H 'Accept: text/turtle' 'https://scigraph.springernature.com/pub.10.1007/s10388-019-00664-1'

RDF/XML is a standard XML format for linked data.

curl -H 'Accept: application/rdf+xml' 'https://scigraph.springernature.com/pub.10.1007/s10388-019-00664-1'


 

This table displays all metadata directly associated to this object as RDF triples.

104 TRIPLES      20 PREDICATES      29 URIs      16 LITERALS      6 BLANK NODES

Subject Predicate Object
1 sg:pub.10.1007/s10388-019-00664-1 schema:about anzsrc-for:11
2 anzsrc-for:1112
3 schema:author N0a33a4cfd36346eb8e464eaa6e572e3c
4 schema:citation sg:pub.10.1007/s00464-010-1072-4
5 sg:pub.10.1007/s10388-016-0551-7
6 https://app.dimensions.ai/details/publication/pub.1075012313
7 https://doi.org/10.1046/j.1442-2050.2001.00166.x
8 https://doi.org/10.1111/dote.12527
9 schema:datePublished 2019-04-03
10 schema:datePublishedReg 2019-04-03
11 schema:description BACKGROUND: Effective treatment of esophageal cancer requires dissection of the regional lymph nodes (LNs) from the cervical to the abdominal area. In this study, we hypothesized that adequate no. 101R dissection is achieved through a thoracoscopic approach in the prone position. METHODS: The study cohort was limited to 42 patients who underwent thoracoscopic subtotal esophagectomy with bilateral cervical lymphadenectomy for thoracic esophageal cancer between January 2015 and March 2017. The number of LNs and the incidence of metastasis were analyzed. During the proposed thoracoscopic procedure, cervical paraesophageal LNs were dissected continuously, with the LNs surrounding the recurrent laryngeal nerve (RLN; no. 106rec) as an en bloc resection. In this study, LNs that required further picking up via a cervical incision were defined as no. 101. The recurrent sites among the consecutive patients during the 3-year follow-up, for whom bilateral cervical lymphadenectomy was omitted for lower and middle thoracic tumors between 2012 and 2014, were analyzed further. RESULTS: The data of 42 patients were analyzed. The lymphatic tissues dorsal to the right cervical RLN were almost completely dissected via thoracoscopy. A median of 0 (0-6) LNs were ventral to the right RLN (no. 101R) and no LN metastasis was observed. There were no lymph nodes in 27 patients (64%). By contrast, there was a median of 1(0-10) no. 101L nodes, and LN metastasis was observed in two patients (4.7%). The numbers of LNs at no. 106recR and no. 106recL were 3 (0-9) and 2(0-13), respectively, and the corresponding numbers of patients with metastases at these sites were 11(26%) and 5(12%), respectively. Among the 33 patients who completed the 3-year follow-up, 9 patients developed recurrence, but none involved 101R LNs. CONCLUSIONS: There were no residual LNs in the area ventral to the right cervical RLN in 64% of the patients who underwent additional cervical lymphadenectomy after the right thoracoscopic approach in the prone position. Further studies with larger patient cohort or randomization are required to confirm our results.
12 schema:genre research_article
13 schema:inLanguage en
14 schema:isAccessibleForFree false
15 schema:isPartOf sg:journal.1033355
16 schema:name Is complete right cervical paraesophageal lymph node dissection possible in the prone position during thoracoscopic esophagectomy?
17 schema:productId N858f0882c4314fb3aeaac04302e67245
18 N8f9bb90aec384d57b7ab52a60bf730a8
19 Nb2e06113214f40678c991e87e63f5ec8
20 Nf2a4a6e2a0814483946db91b884fb8a3
21 schema:sameAs https://app.dimensions.ai/details/publication/pub.1113182468
22 https://doi.org/10.1007/s10388-019-00664-1
23 schema:sdDatePublished 2019-04-11T13:56
24 schema:sdLicense https://scigraph.springernature.com/explorer/license/
25 schema:sdPublisher Nc577fe8aa816463fad0a0dc200176a7e
26 schema:url http://link.springer.com/10.1007/s10388-019-00664-1
27 sgo:license sg:explorer/license/
28 sgo:sdDataset articles
29 rdf:type schema:ScholarlyArticle
30 N01d6e0236180451e85bb3dc5d6527d54 schema:affiliation https://www.grid.ac/institutes/grid.417000.2
31 schema:familyName Kawada
32 schema:givenName Hironori
33 rdf:type schema:Person
34 N022880a900c64262a4622364c0f7518c rdf:first Nd693e729cee94d639f7755e826a96549
35 rdf:rest rdf:nil
36 N0a33a4cfd36346eb8e464eaa6e572e3c rdf:first N3bf8bbbb6e614f2b906c05b94ad9100d
37 rdf:rest Nff31687a54f842aba9800976e6cb35bc
38 N3bf8bbbb6e614f2b906c05b94ad9100d schema:affiliation https://www.grid.ac/institutes/grid.417000.2
39 schema:familyName Yagi
40 schema:givenName Daisuke
41 rdf:type schema:Person
42 N6f4fa075863646ff9d0039666ec5b150 schema:affiliation https://www.grid.ac/institutes/grid.417000.2
43 schema:familyName Akagawa
44 schema:givenName Shin
45 rdf:type schema:Person
46 N79140cb074914e47857d7addb3469e5e rdf:first N6f4fa075863646ff9d0039666ec5b150
47 rdf:rest N8ea87e4e9e2d459fbcb58e6bfc801f27
48 N858f0882c4314fb3aeaac04302e67245 schema:name nlm_unique_id
49 schema:value 101206627
50 rdf:type schema:PropertyValue
51 N8ea87e4e9e2d459fbcb58e6bfc801f27 rdf:first N01d6e0236180451e85bb3dc5d6527d54
52 rdf:rest Nf2e4248ae6564b52b44bd4c1bac2ca32
53 N8f9bb90aec384d57b7ab52a60bf730a8 schema:name doi
54 schema:value 10.1007/s10388-019-00664-1
55 rdf:type schema:PropertyValue
56 Nb2e06113214f40678c991e87e63f5ec8 schema:name dimensions_id
57 schema:value pub.1113182468
58 rdf:type schema:PropertyValue
59 Nc577fe8aa816463fad0a0dc200176a7e schema:name Springer Nature - SN SciGraph project
60 rdf:type schema:Organization
61 Ncf01c849d01c473292b7e7f7a856d11c schema:affiliation https://www.grid.ac/institutes/grid.417000.2
62 schema:familyName Hosogi
63 schema:givenName Hisahiro
64 rdf:type schema:Person
65 Nd693e729cee94d639f7755e826a96549 schema:affiliation https://www.grid.ac/institutes/grid.417000.2
66 schema:familyName Kanaya
67 schema:givenName Seiichiro
68 rdf:type schema:Person
69 Ne413086bd7504db89af2e1059c24c0fb schema:affiliation https://www.grid.ac/institutes/grid.417000.2
70 schema:familyName Shimoike
71 schema:givenName Norihiro
72 rdf:type schema:Person
73 Nf2a4a6e2a0814483946db91b884fb8a3 schema:name pubmed_id
74 schema:value 30945097
75 rdf:type schema:PropertyValue
76 Nf2e4248ae6564b52b44bd4c1bac2ca32 rdf:first Ne413086bd7504db89af2e1059c24c0fb
77 rdf:rest N022880a900c64262a4622364c0f7518c
78 Nff31687a54f842aba9800976e6cb35bc rdf:first Ncf01c849d01c473292b7e7f7a856d11c
79 rdf:rest N79140cb074914e47857d7addb3469e5e
80 anzsrc-for:11 schema:inDefinedTermSet anzsrc-for:
81 schema:name Medical and Health Sciences
82 rdf:type schema:DefinedTerm
83 anzsrc-for:1112 schema:inDefinedTermSet anzsrc-for:
84 schema:name Oncology and Carcinogenesis
85 rdf:type schema:DefinedTerm
86 sg:journal.1033355 schema:issn 1612-9059
87 1612-9067
88 schema:name Esophagus
89 rdf:type schema:Periodical
90 sg:pub.10.1007/s00464-010-1072-4 schema:sameAs https://app.dimensions.ai/details/publication/pub.1034983354
91 https://doi.org/10.1007/s00464-010-1072-4
92 rdf:type schema:CreativeWork
93 sg:pub.10.1007/s10388-016-0551-7 schema:sameAs https://app.dimensions.ai/details/publication/pub.1033023690
94 https://doi.org/10.1007/s10388-016-0551-7
95 rdf:type schema:CreativeWork
96 https://app.dimensions.ai/details/publication/pub.1075012313 schema:CreativeWork
97 https://doi.org/10.1046/j.1442-2050.2001.00166.x schema:sameAs https://app.dimensions.ai/details/publication/pub.1032685448
98 rdf:type schema:CreativeWork
99 https://doi.org/10.1111/dote.12527 schema:sameAs https://app.dimensions.ai/details/publication/pub.1041181280
100 rdf:type schema:CreativeWork
101 https://www.grid.ac/institutes/grid.417000.2 schema:alternateName Osaka Red Cross Hospital
102 schema:name Department of Surgery, Osaka Red Cross Hospital, 5-30 Fudegasakicho, Tennoji-ku, Osaka, 543-8555, Japan.
103 Department of Surgery, Osaka Red Cross Hospital, 5-30 Fudegasakicho, Tennoji-ku, Osaka, 543-8555, Japan. 98093dy@jichi.ac.jp.
104 rdf:type schema:Organization
 




Preview window. Press ESC to close (or click here)


...