@article{oai:niigata-u.repo.nii.ac.jp:00014893,
 author = {西巻, 正},
 issue = {5},
 journal = {新潟医学会雑誌, 新潟医学会雑誌},
 month = {May},
 note = {Extended radical esophagectomy combined with simultaneous bilateral cervical, mediastinal, and abdominal lymphadenectomies i.e., 3 -field lymphadenectomy (3 FL) has been enthusiastically performed to improve long-term survival in patients with esophageal cancer in Japan since the early 1980 s. However, some analyses of clinicopathologic characteristics of long-term survivors after 3 FL revealed that 3 FL is indicated only for patients with four or fewer metastatic nodes or with metastases confined to one or two of the anatomic compartments (neck, mediastinum, and abdomen) from upper or mid-esophageal tumors. Transhiatal radical esophagectomy may be adequate as a curative procedure for patients with clinically negative mediastinal metastasis from lower esophageal cancer because of the less invasiveness and equally good survival as compared with 3 FL. Whether multimodality treatment consisting of surgery and chemotherapy with or without radiotherapy is effective in improving survival rates of patients with esophageal cancer remains unclear.},
 pages = {167--175},
 title = {食道癌の切除・郭清効果におよぼす腫瘍転移形態の特徴と新しい外科治療戦略},
 volume = {115},
 year = {2001}
}