By Tatsuo Sato (ed.), Toshifumi Iizuka (ed.)
It is key to grasp the entire problematic lymph pathways while acting surgical procedure for esophageal melanoma in an effort to ascertain the level of lymph node metastasis. Professor Sato has undertaken, on the request of the TNM study Committee of the foreign Society for ailments of the Esophagus, to map out and classify the lymph nodes of the mediastinum and neck. the gorgeous paintings within the Color Atlas of Surgical Anatomy for Esophageal Cancer edited through Professor Sato provides an exceptional knowing of the lymph node pathways and their significance in surgery. Minute dissections which characterize actual existence events, not only the superficial pathways, express the best position and topographical association of the lymphatics. Full-color schematics are given with the particular dissection illustrations and pictures. The atlas truly provides the category of 4 major pathways and their verbal exchange, the connection of those pathways en path to the venous angles and the definition and evaluation of the main severe nodes. Thoracic surgeons specifically will enjoy the very good illustrations of surgical thoughts and the tools for recording the dissected lymph nodes that are provided by means of Professor Kakegawa. major specialists struggling with esophageal melanoma with surgical operation can use the category during this awesome atlas for a few years to return as a customary for foreign comparability. The cautious dissection of the lymph nodes could be the most sensible technique to enhance survival premiums after surgical procedure for melanoma of the thoracic esophagus.
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Extra info for Color Atlas of Surgical Anatomy for Esophageal Cancer
Communication between the infracarinal nodes and the right paratracheal nodes (specimen 6) Illustrations and Photographs 19 20 47 48 T. Sato and K. Sakamoto Fig. 21 This photograph shows the cervicomediastinal area of Fig. 20. The welldeveloped nodes near the top of the previous two figures are shown here at the lower right of the figure and just below the right brachiocephalic vein (blue pin). These are two adjacent right paratracheal nodes, one in front of and one to the side of the trachea (pre- and paratracheal nodes).
The carotid and subclavian arteries have been cut and moved away. The vagus nerve has been cut at its cervical portion and shifted to the lower left side of this photograph. The position of the venous angle is indicated by the white pin. The right recurrent nerve nodes are located in the center of this photograph. The group of nodes closest to the venous angle are the supraclavicular nodes. These supraclavicular nodes and those of the right recurrent nerve have a close communication via this thick lymph vessel.
N. Rt. spin. acc. n. chain----~, chain Rt. deep ext. n. - - - - , . - a. n. Lt. rec. n. c h ain ------\\""-----I'InJ~ o z 1 - - - - - Rt. paratracheal n. -- - -- O:~~~JilC'=----- Rt. bronchial a. - - - - u. Lt. pulm . hilar n. }-_ _ _ _ Tracheal bifurcation n. Rt. pulm . hilar n. Tumor -----~~~~~ Mediastinal n. (lower ) -----+<;,il--,w, Paracardiac n. - - - Diaphragmatic n. Lt. gastric a. n. Lesser curvature n. Celiac trunk n. Common Hepatic a. n. Splenic a. n. Fig. 7. Extent of resection and less extensive lymph node dissection.
Color Atlas of Surgical Anatomy for Esophageal Cancer by Tatsuo Sato (ed.), Toshifumi Iizuka (ed.)