Evidence map›Paper›PMID 41294671›Full record

ArticleCurrent oncology (Toronto, Ont.)2025

The Relevance of Lymphadenectomy Extension to the Right Paratracheal Space in the Treatment of Esophagogastric Junction Adenocarcinoma: A Retrospective Bicentric Study.

Dina Yazidi, Maarten Vander Kuylen, Meriem Ennaji, Fadi Charara, Issam El Nakadi, Michel Moreau, Maria Galdon Gomez, Laurine Verset, Gabriel Liberale

Abstract readMulticenter Study
In one paragraph

Article in Current oncology (Toronto, Ont.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Dina YazidiDepartment of Digestive Surgery, Institut Jules Bordet and Hôpital Erasme (HUB), Université Libre de Bruxelles (ULB), 1070 Anderlecht, Belgium.
Maarten Vander KuylenDepartment of Digestive Surgery, Institut Jules Bordet and Hôpital Erasme (HUB), Université Libre de Bruxelles (ULB), 1070 Anderlecht, Belgium.
Meriem EnnajiDepartment of Digestive Surgery, Institut Jules Bordet and Hôpital Erasme (HUB), Université Libre de Bruxelles (ULB), 1070 Anderlecht, Belgium.
Fadi ChararaDepartment of Digestive Surgery, Institut Jules Bordet and Hôpital Erasme (HUB), Université Libre de Bruxelles (ULB), 1070 Anderlecht, Belgium.
Issam El NakadiDepartment of Digestive Surgery, Institut Jules Bordet and Hôpital Erasme (HUB), Université Libre de Bruxelles (ULB), 1070 Anderlecht, Belgium.
Michel MoreauInformation Management Unit, Institut Jules Bordet (HUB), Université Libre de Bruxelles (ULB), 1070 Anderlecht, Belgium.
Maria Galdon GomezDepartment of Pathology, Institut Jules Bordet (HUB), Université Libre de Bruxelles (ULB), 1070 Anderlecht, Belgium.
Laurine VersetDepartment of Pathology, Institut Jules Bordet (HUB), Université Libre de Bruxelles (ULB), 1070 Anderlecht, Belgium.
Gabriel LiberaleDepartment of Digestive Surgery, Institut Jules Bordet and Hôpital Erasme (HUB), Université Libre de Bruxelles (ULB), 1070 Anderlecht, Belgium.ORCID 0000-0001-8051-1588

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The benefit of extensive lymphadenectomy including the right paratracheal station (RPTS) in the upper mediastinum for esophagogastric junction (EGJ) adenocarcinoma remains controversial. Upper mediastinal lymph node (LN) involvement has been associated with esophageal invasion length, representing a potential research area. This study aimed to assess the rate of RPTS LN involvement in EGJ adenocarcinoma and its correlation with esophageal invasion length, as well as potential impacts on survival and postoperative complications. Patients undergoing two- or three-field esophagectomy with lymphadenectomy extended to the RPTS between 2006 and 2023 were retrospectively included. Patient, tumor, operative, and postoperative data were collected. Among 321 esophagectomies, 147 met inclusion criteria. Median esophageal invasion length was 3 cm. No patients (0%) had LN metastasis in the RPTS, regardless of invasion length (>4 cm or ≤4 cm). Postoperative complications occurred in 41.5% of patients, most commonly weight loss > 10% (29.2%), pleural effusion (21.1%), and infectious pneumonitis (19.7%). Five-year overall and disease-free survival rates were 44% and 29%, respectively. Our findings suggest that extending lymphadenectomy to the right paratracheal space fails to detect lymph node invasion in patients with esophageal invasion greater than or less than 4 cm in patients with esophageal adenocarcinoma.

Indexed as

AdenocarcinomaEsophageal NeoplasmsEsophagogastric JunctionLymph Node ExcisionAdultAgedAged, 80 and overEsophagectomyFemaleHumansLymphatic MetastasisMaleMiddle AgedRetrospective Studiesesophagogastric junction adenocarcinomalymphadenectomypostoperative complicationsright paratracheal station

Identifiers

PMID41294671
PMCPMC12651184

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.