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Establishing a standard surgery for esophagogastric junction cancer: Final results from the JGCA-JES nationwide prospective study - PubMed

3 days ago
  • #therapeutic efficacy index
  • #esophagogastric junction cancer
  • #lymph node dissection
  • Nationwide study on optimal surgery for esophagogastric junction (EGJ) cancer.
  • Proximal perigastric and suprapancreatic lymph nodes show high therapeutic efficacy index (TEI), supporting their dissection.
  • Mediastinal node dissection should be adjusted based on esophageal involvement length.
  • Distal perigastric and paraaortic nodes have low TEIs, indicating minimal survival impact.
  • Study involved 371 patients out of 1,065 screened, focusing on resectable cT2-T4 adenocarcinoma or squamous cell carcinoma.