{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T19:06:10Z","timestamp":1775761570837,"version":"3.50.1"},"reference-count":24,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2013,10,8]],"date-time":"2013-10-08T00:00:00Z","timestamp":1381190400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2014,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The oncologic feasibility of video\u2010assisted thoracoscopic (VATS) radical esophagectomy for esophageal cancer has yet to be proven. We evaluated the oncologic outcome of VATS\u2010esophagectomy by reviewing our 10\u2010year experience, with particular emphasis on the effect of lymph node dissection.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>From January 2003 to December 2012, 146 patients with esophageal cancer underwent completion of VATS\u2010esophagectomy in the left lateral position.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean follow\u2010up period was 37.1\u00a0months. Forty\u2010six patients (31.5 %) had recurrence of cancer. Primary recurrence was hematogenous, lymphatic, peritoneal dissemination, pleural dissemination, locoregional, or port site in 20 (13.7 %), 23 (15.8 %), 2 (1.4 %), 5 (3.4 %), 4 (2.7 %), and 1 (0.67 %) patients, respectively. Pleural dissemination occurred more frequently after noncurative operation than curative operation (<jats:italic>p<\/jats:italic> = 0.010). The frequency of lymphatic metastasis within the mediastinal regional lymph nodes in the dissection field was only 5.5 %. The overall 5\u2010year survival rate of stage I, II, and III disease after curative VATS\u2010esophagectomy was 79.1, 77.9, and 56.7 %, respectively. T4 tumor, lymph node metastasis, R1 or 2, and concomitant lymph node metastasis in the cervical, mediastinal, and abdominal fields were indicators of unfavorable outcome. The lymph nodes in the abdominal region and those around the bilateral recurrent laryngeal nerves (RLNs) were frequent metastasis sites. Patients who had metastasis only around RLNs had favorable survival comparable to node\u2010negative cases after curative VATS\u2010esophagectomy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Video\u2010assisted thorascopic\u2010esophagectomy has an excellent locoregional control effect with favorable oncologic outcome. The lymph node dissection procedure by VATS\u2010esophagectomy has survival benefit for the patients having lymph node metastasis around bilateral RLNs.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-013-2238-8","type":"journal-article","created":{"date-parts":[[2013,10,7]],"date-time":"2013-10-07T14:14:57Z","timestamp":1381155297000},"page":"120-130","source":"Crossref","is-referenced-by-count":26,"title":["Oncologic Outcomes of Thoracoscopic Esophagectomy with Extended Lymph Node Dissection: 10\u2010year Experience from a Single Center"],"prefix":"10.1002","volume":"38","author":[{"given":"Itasu","family":"Ninomiya","sequence":"first","affiliation":[{"name":"Division of Cancer Medicine, Gastroenterologic Surgery, Department of Oncology, Graduate School of Medical Science Kanazawa University Takaramachi 13\u20101 920\u20108641 Kanazawa Ishikawa 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