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目的：探讨胸段食管癌颈部及上纵隔淋巴结转移规律。方法：采用颈、胸、腹三切口施行胸段食管癌手术６１６例，同时施行三区域淋巴结清扫。结果：颈部及上纵隔淋巴结转移率和转移度分别为５７．１％和２１．５％。其中胸中、上段食管癌颈部淋巴结转移率分别为３９．４％、４３．７％，右胸顶淋巴结转移率分别为１５．０％、３７．５％，气管旁淋巴结转移率分别为１３．７％、２５．０％。即使是胸下段食管癌颈部及右胸顶仍有１８．５％、２２．２％的淋巴结转移。结论：胸段食管癌必须重视颈部及上纵隔淋巴结清扫。
Objective: To investigate the rule of lymph node metastasis in cervical and upper mediastinum of thoracic esophageal carcinoma. Methods: Sixty-six cases of thoracic esophageal carcinoma were performed by three incisions of the neck, thorax, and abdomen. At the same time, tri-regional lymph node dissection was performed. Results: The lymph node metastasis and metastasis in the neck and upper mediastinum were 57.1% and 21.5%, respectively. Among them, the metastatic rates of cervical lymph nodes in the middle and upper thoracic esophageal cancer were 39.4% and 43.7%, respectively. The rates of metastatic lymph nodes in the right chest were 15.0% and 37.5%, respectively. The paratracheal lymph node metastasis rates were 13. 7%, 25.0%. Even in the lower thoracic esophageal cancer, 18.5% and 22.2% of lymph nodes were still metastasized to the neck and right chest. Conclusion: Thoracic esophageal cancer must pay attention to neck and upper mediastinal lymph node dissection.