[Resection of the sentinel lymph node in breast carcinoma. Substitution for axillary lymph node excision?].
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This paper analyses the surgical literature devoted to lymph node clearance for cancer of the esophagus. Involvement of a small number of lymph nodes by the neoplastic process does not preclude long-term survival and even cure. The superiority of the 3-field dissection over the 2-field dissection, although suggested in the available studies, should be confirmed by a prospective randomized study. Extensive lymph node clearance protects many patients from local recurrence, and allows to staging of the neoplastic disease and selection of those patients who are eligible for adjuvant therapy.
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The authors report their experience of a surgical approach to pelvic lymph nodes based on a series of 24 patients with prostatic cancer (20 patients) or bladder cancer (4 patients). After making a short iliac incision, this technique consists of detaching the peritoneum with a finger and introducing a retractor (modified Cusko speculum) allowing removal of the lymph nodes. The authors discuss the indications for this technique in comparison with other methods of investigation of lymph nodes and present their results.
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