{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,28]],"date-time":"2026-06-28T06:40:56Z","timestamp":1782628856145,"version":"3.54.5"},"reference-count":26,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2020,2,28]],"date-time":"2020-02-28T00:00:00Z","timestamp":1582848000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"DOI":"10.13039\/501100003347","name":"Fudan University Shanghai Cancer Center","doi-asserted-by":"publisher","award":["YJLC201302"],"award-info":[{"award-number":["YJLC201302"]}],"id":[{"id":"10.13039\/501100003347","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81572253"],"award-info":[{"award-number":["81572253"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100014175","name":"Shanghai Municipal Health Commission Key Discipline Project","doi-asserted-by":"publisher","award":["2017ZZ02025"],"award-info":[{"award-number":["2017ZZ02025"]}],"id":[{"id":"10.13039\/501100014175","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100010167","name":"Shanghai Shen Kang Hospital Development Center City Hospital Emerging Cutting-edge Technology Joint Research Project","doi-asserted-by":"publisher","award":["SHDC12017102"],"award-info":[{"award-number":["SHDC12017102"]}],"id":[{"id":"10.13039\/501100010167","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,4,27]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>The benefit and harm of three-field lymphadenectomy for oesophageal cancer are still unknown. The aim of this study was to compare overall survival and morbidity and mortality between three- and two-field lymphadenectomy in patients with oesophageal squamous cell carcinoma.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Between March 2013 and November 2016, patients with squamous cell carcinoma of the middle or distal oesophagus were assigned randomly to open oesophagectomy with three-field (cervical\u2013thoracic\u2013abdominal) or two-field (thoracic\u2013abdominal) lymphadenectomy. No chemo(radio) therapy was given before surgery. This paper reports on the secondary outcomes of the study: pathology and surgical complications.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Some 400 patients were randomized, 200 in each group. A median of 37 (i.q.r. 30\u201349) lymph nodes were dissected in the three-field group, compared with 24 (18\u201330) in the two-field group (P &amp;lt; 0\u00b7001). Some 43 of 200 patients (21\u00b75 per cent) in the three-field group had cervical lymph node metastasis. More patients in the three-field group had pN3 disease: 21 of 200 (10\u00b75 per cent) versus 10 of 200 (5\u00b70 per cent) (P = 0\u00b7040). The rate and severity of postoperative complications were comparable between the two groups, except that six patients in the three-field arm needed reintubation compared with none in the two-field group (3\u00b70 versus 0 per cent; P = 0\u00b7030). The 90-day mortality rate was 0 per cent in the three-field group and 0\u00b75 per cent (1 patient) in the two-field group (P = 1\u00b7000).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Oesophagectomy with three-field lymphadenectomy increased the number of lymph nodes dissected and led to stage migration owing to a 21\u00b75 per cent rate of cervical lymph node metastasis. Postoperative complications were largely comparable between two- and three-field lymphadenectomy. Registration number: NCT01807936 (https:\/\/www.clinicaltrials.gov).<\/jats:p>\n               <\/jats:sec>","DOI":"10.1002\/bjs.11497","type":"journal-article","created":{"date-parts":[[2020,2,28]],"date-time":"2020-02-28T14:55:03Z","timestamp":1582901703000},"page":"647-654","source":"Crossref","is-referenced-by-count":35,"title":["Three-field <i>versus<\/i> two-field lymphadenectomy in transthoracic oesophagectomy for oesophageal squamous cell carcinoma: short-term outcomes of a randomized clinical trial"],"prefix":"10.1093","volume":"107","author":[{"given":"B","family":"Li","sequence":"first","affiliation":[{"name":"Department of Thoracic Surgery, Fudan University Shanghai Cancer Centre , Shanghai, China"},{"name":"Department of Oncology, Shanghai Medical College, Fudan University , Shanghai, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H","family":"Hu","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Fudan University 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