Two- versus three-field lymphadenectomy for esophageal cancer. A systematic review and meta-analysis of early and late results

J Surg Oncol. 2022 Jul;126(1):76-89. doi: 10.1002/jso.26857.

Abstract

This study aims to estimate whether prophylactic cervical lymphadenectomy for esophageal cancer influences the short- and long-term results through a systematic literature review and meta-analysis. Twenty-eight articles were selected in this systematic review, encompassing 9180 patients. Prophylactic neck lymphadenectomy for esophageal cancer should be performed with caution, as it is associated with worse short-term results compared to traditional two-field lymphadenectomy and does not improve long-term survival.

Keywords: esophageal cancer; esophagus; lymphadenectomy; meta-analysis; systematic review.

Publication types

  • Meta-Analysis
  • Review
  • Systematic Review

MeSH terms

  • Carcinoma, Squamous Cell* / surgery
  • Esophageal Neoplasms* / surgery
  • Esophagectomy / methods
  • Humans
  • Lymph Node Excision / methods
  • Lymphatic Metastasis