0 ! #! ù &2 ! #0 2 - esophagus.gr | Μοναδα ...radiographically occult metastatic disease...

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ǻȘȝȒτȡȚοȢ Θİοįώȡου ΧεȚȡουȡγόȢ ΜονȐįα ΧİȚȡουȡγȚțȒȢ Ανωτȑȡου ΠİπτȚțού Ά Πȡοπ ΧεȚȡουȡ ΚȜȚνȚțή ǼΚΠΑ ǻȚευșυντήȢ: Καș Γ ǽωγȡάφοȢ

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Page 1: 0 ! #! ù &2 ! #0 2 - esophagus.gr | Μοναδα ...radiographically occult metastatic disease in patients with T3 and/or Definition of DI and D2 lymph node dissections N+ disease

τ ο Θ ο ώ ου Χε ου γό

Μον α Χ ου γ Ανωτ ου Π πτ ού

Ά Π οπ Χε ου Κ ν ή ΚΠΑ ευ υντή : Κα Γ ωγ άφο

Page 2: 0 ! #! ù &2 ! #0 2 - esophagus.gr | Μοναδα ...radiographically occult metastatic disease in patients with T3 and/or Definition of DI and D2 lymph node dissections N+ disease
Page 3: 0 ! #! ù &2 ! #0 2 - esophagus.gr | Μοναδα ...radiographically occult metastatic disease in patients with T3 and/or Definition of DI and D2 lymph node dissections N+ disease

υτ Α α

Page 4: 0 ! #! ù &2 ! #0 2 - esophagus.gr | Μοναδα ...radiographically occult metastatic disease in patients with T3 and/or Definition of DI and D2 lymph node dissections N+ disease
Page 5: 0 ! #! ù &2 ! #0 2 - esophagus.gr | Μοναδα ...radiographically occult metastatic disease in patients with T3 and/or Definition of DI and D2 lymph node dissections N+ disease
Page 6: 0 ! #! ù &2 ! #0 2 - esophagus.gr | Μοναδα ...radiographically occult metastatic disease in patients with T3 and/or Definition of DI and D2 lymph node dissections N+ disease
Page 7: 0 ! #! ù &2 ! #0 2 - esophagus.gr | Μοναδα ...radiographically occult metastatic disease in patients with T3 and/or Definition of DI and D2 lymph node dissections N+ disease
Page 8: 0 ! #! ù &2 ! #0 2 - esophagus.gr | Μοναδα ...radiographically occult metastatic disease in patients with T3 and/or Definition of DI and D2 lymph node dissections N+ disease
Page 9: 0 ! #! ù &2 ! #0 2 - esophagus.gr | Μοναδα ...radiographically occult metastatic disease in patients with T3 and/or Definition of DI and D2 lymph node dissections N+ disease
Page 10: 0 ! #! ù &2 ! #0 2 - esophagus.gr | Μοναδα ...radiographically occult metastatic disease in patients with T3 and/or Definition of DI and D2 lymph node dissections N+ disease
Page 11: 0 ! #! ù &2 ! #0 2 - esophagus.gr | Μοναδα ...radiographically occult metastatic disease in patients with T3 and/or Definition of DI and D2 lymph node dissections N+ disease
Page 12: 0 ! #! ù &2 ! #0 2 - esophagus.gr | Μοναδα ...radiographically occult metastatic disease in patients with T3 and/or Definition of DI and D2 lymph node dissections N+ disease
Page 13: 0 ! #! ù &2 ! #0 2 - esophagus.gr | Μοναδα ...radiographically occult metastatic disease in patients with T3 and/or Definition of DI and D2 lymph node dissections N+ disease
Page 14: 0 ! #! ù &2 ! #0 2 - esophagus.gr | Μοναδα ...radiographically occult metastatic disease in patients with T3 and/or Definition of DI and D2 lymph node dissections N+ disease

Ε π α D2

«Μ υ ω χ ω »

Ο π D2

Α υ υπ ω

Επ α α π υ απ

Page 15: 0 ! #! ù &2 ! #0 2 - esophagus.gr | Μοναδα ...radiographically occult metastatic disease in patients with T3 and/or Definition of DI and D2 lymph node dissections N+ disease

Need at least 25 cases

Parikh et al, Br J Surgery 1996;83:1595

Page 16: 0 ! #! ù &2 ! #0 2 - esophagus.gr | Μοναδα ...radiographically occult metastatic disease in patients with T3 and/or Definition of DI and D2 lymph node dissections N+ disease
Page 17: 0 ! #! ù &2 ! #0 2 - esophagus.gr | Μοναδα ...radiographically occult metastatic disease in patients with T3 and/or Definition of DI and D2 lymph node dissections N+ disease
Page 18: 0 ! #! ù &2 ! #0 2 - esophagus.gr | Μοναδα ...radiographically occult metastatic disease in patients with T3 and/or Definition of DI and D2 lymph node dissections N+ disease
Page 19: 0 ! #! ù &2 ! #0 2 - esophagus.gr | Μοναδα ...radiographically occult metastatic disease in patients with T3 and/or Definition of DI and D2 lymph node dissections N+ disease

Contamination: mix of patients between groups from 22,8 to 36,6 %

Proportion of patients treated with curative intent 66%

Bonenkamp et al, Gastric Cancer 1998;1:152

Page 20: 0 ! #! ù &2 ! #0 2 - esophagus.gr | Μοναδα ...radiographically occult metastatic disease in patients with T3 and/or Definition of DI and D2 lymph node dissections N+ disease
Page 21: 0 ! #! ù &2 ! #0 2 - esophagus.gr | Μοναδα ...radiographically occult metastatic disease in patients with T3 and/or Definition of DI and D2 lymph node dissections N+ disease
Page 22: 0 ! #! ù &2 ! #0 2 - esophagus.gr | Μοναδα ...radiographically occult metastatic disease in patients with T3 and/or Definition of DI and D2 lymph node dissections N+ disease
Page 23: 0 ! #! ù &2 ! #0 2 - esophagus.gr | Μοναδα ...radiographically occult metastatic disease in patients with T3 and/or Definition of DI and D2 lymph node dissections N+ disease
Page 24: 0 ! #! ù &2 ! #0 2 - esophagus.gr | Μοναδα ...radiographically occult metastatic disease in patients with T3 and/or Definition of DI and D2 lymph node dissections N+ disease
Page 25: 0 ! #! ù &2 ! #0 2 - esophagus.gr | Μοναδα ...radiographically occult metastatic disease in patients with T3 and/or Definition of DI and D2 lymph node dissections N+ disease
Page 26: 0 ! #! ù &2 ! #0 2 - esophagus.gr | Μοναδα ...radiographically occult metastatic disease in patients with T3 and/or Definition of DI and D2 lymph node dissections N+ disease
Page 27: 0 ! #! ù &2 ! #0 2 - esophagus.gr | Μοναδα ...radiographically occult metastatic disease in patients with T3 and/or Definition of DI and D2 lymph node dissections N+ disease
Page 28: 0 ! #! ù &2 ! #0 2 - esophagus.gr | Μοναδα ...radiographically occult metastatic disease in patients with T3 and/or Definition of DI and D2 lymph node dissections N+ disease
Page 29: 0 ! #! ù &2 ! #0 2 - esophagus.gr | Μοναδα ...radiographically occult metastatic disease in patients with T3 and/or Definition of DI and D2 lymph node dissections N+ disease

Μπ π υ απ α υπ α α υ χ υ ?

Page 30: 0 ! #! ù &2 ! #0 2 - esophagus.gr | Μοναδα ...radiographically occult metastatic disease in patients with T3 and/or Definition of DI and D2 lymph node dissections N+ disease
Page 31: 0 ! #! ù &2 ! #0 2 - esophagus.gr | Μοναδα ...radiographically occult metastatic disease in patients with T3 and/or Definition of DI and D2 lymph node dissections N+ disease
Page 32: 0 ! #! ù &2 ! #0 2 - esophagus.gr | Μοναδα ...radiographically occult metastatic disease in patients with T3 and/or Definition of DI and D2 lymph node dissections N+ disease

α υπ χ α χ α π α υ υ α φα D2 ω

υπ χ υ α π

Page 33: 0 ! #! ù &2 ! #0 2 - esophagus.gr | Μοναδα ...radiographically occult metastatic disease in patients with T3 and/or Definition of DI and D2 lymph node dissections N+ disease

D2 π π α π α α π α α π α α α

α α α α χ υ α

Η π φα α α χ

φ αφ υπ α α

Page 34: 0 ! #! ù &2 ! #0 2 - esophagus.gr | Μοναδα ...radiographically occult metastatic disease in patients with T3 and/or Definition of DI and D2 lymph node dissections N+ disease

α α αγ α α α τυχα οπο τ οπο α α:

1. Εφα D2 χ α α α

2. Απ φ π

3. Εφα D2 π υ α ( T3+, N1,N2)

4. α χ α π υ απ

Page 35: 0 ! #! ù &2 ! #0 2 - esophagus.gr | Μοναδα ...radiographically occult metastatic disease in patients with T3 and/or Definition of DI and D2 lymph node dissections N+ disease