Johansson et al studied 49 patients with similar T3 N1 disease–matching criteria and concluded that en bloc esophagectomy conferred a better survival than transhiatal esophagectomy in these patients with fewer than 9 involved lymph nodes (P<.001). This argument has been long standing and this study is unlikely to put it to rest, but it does establish the limited area in which en bloc esophagectomy appears to have a favorable influence.
This Month in. Arch Surg. 2004;139(6):583. doi:10.1001/archsurg.139.6.583