By Tatsuo Sato (ed.), Toshifumi Iizuka (ed.)
It is key to grasp all the tricky lymph pathways while acting surgical procedure for esophageal melanoma to be able to be sure the level of lymph node metastasis. Professor Sato has undertaken, on the request of the TNM study Committee of the foreign Society for ailments of the Esophagus, to map out and classify the lymph nodes of the mediastinum and neck. the gorgeous paintings within the Color Atlas of Surgical Anatomy for Esophageal Cancer edited by means of Professor Sato supplies a very good figuring out of the lymph node pathways and their significance in surgical procedure. Minute dissections which characterize actual lifestyles occasions, not only the superficial pathways, convey the right position and topographical association of the lymphatics. Full-color schematics are given with the particular dissection illustrations and images. The atlas truly offers the type of 4 major pathways and their verbal exchange, the connection of those pathways en path to the venous angles and the definition and evaluation of the main serious nodes. Thoracic surgeons in particular will enjoy the very good illustrations of surgical innovations and the tools for recording the dissected lymph nodes that are offered via Professor Kakegawa. prime specialists combating esophageal melanoma with surgical operation can use the class during this impressive atlas for a few years to return as a typical for foreign comparability. The cautious dissection of the lymph nodes could be the most sensible option to increase survival premiums after surgical procedure for melanoma of the thoracic esophagus.
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Extra info for Color Atlas of Surgical Anatomy for Esophageal Cancer
Sato and K. Sakamoto Fig. 28 This is an illustration of the left deep lymph pathway based on the dissection of specimen 1, viewed from the right. The bronchial artery from the highest intercostal artery of aortic origin has been cut, and the right lung and bronchus have been pulled to the front and to the left. The esophagus has been cut at the top of the thorax and shifted to the right after cutting the vagus nerve just under the points of origin of the pulmonary branches. Thus, the reflected posterior surface of the trachea, and the right and left bronchi and the surrounding structures are visible.
Comparison between the survival rate of groups with collo-thoraco-abdominal dissection (CfA) and thoraco-abdominal dissection (TA). a Ove rall survival rates. b Survival rates for patients with positive mediastinal and abdominal nodes M[ + jA[ + j. 0105 o ~----~----~----~----~-------- o ('Yo) 2 3 4 b 5 Years eTA: n = 77 TA : n = 73 100 90 80 70 60 50 40 30 20 log rank 10 gen. Wilcox. 4 TA : n = 117 30 20 log rank p 10 gen. Wilcox. 0620 M[+JA[+J extremely difficult to compare the results of different reports by accurate statistical analysis.
Thus, this quadrilateral tracheal area (formed by the superior vena cava, brachiocephalic and subclavian arteries, and esophagus and azygos vein) is divided into two long triangles by the vagus nerve. From the highest intercostal artery of aortic origin, the right bronchial artery arises and passes over the esophagus and under the vagus nerve, extending to the bronchus and lung. The connective tissues surrounding various nodes have been removed to obtain a clearer view, making each node more distinguishable.