Risk factors and indication for dissection of right paraesophageal lymph node @entity3 in XXXX .

@entity3557 @entity1 @entity75 @entity5 @entity3
BACKGROUND: Right paraesophageal lymph nodes (RPELNs) are located behind right recurrent laryngeal nerve which often ignored in central compartment lymph nodes (LNs) dissection of @entity3557 ( @entity3557 ) @entity1 . The aim of this study was to identify the risk factors for RPELN @entity3 and indications for RPELN dissection. METHODS: Medical record of 246 consecutive @entity3557 @entity1 (194 female, 52 male), who underwent total thyroidectomy (244 @entity1 ) or right lobectomy (2 @entity1 ) with central compartment LN dissection (13 ipsilateral and 233 bilateral), were reviewed. The RPELNs were kept separately during the operation. The clinical pathology data was collected and analyzed. RESULTS: RPELN @entity3 was confirmed in 33 @entity1 (13.4%) and were discovered in 18.5% (31/168) of right lesion, 34.4% (31/90) of right central group LN (rCLN) @entity3 , 33.3% (18/54) of lateral compartment LN (LLN) @entity3 , 25.7% (9/35) of local recurrent @entity1 respectively. The ultrasound suspected metastatic LNs, @entity5 diameter, @entity5 number, @entity5 location, and numbers of metastatic Delphian LNs, central group LNs (CLNs), rCLNs, and LLNs between @entity1 with and without RPELN @entity3 showed significant differences in univariate analysis (P  <  0.05). In multivariate analysis, number of metastatic rCLNs (1-2: OR 13.6, 95% CI, 2.7-67.5;    3: OR39.4, 95% CI, 7.7-200.9), right side @entity5 (OR 6.4, 95% CI, 1.1-35.6), and three or more metastatic LLNs (OR 3.5, 95% CI, 1.2-10.2) were independent risk factors for RPELN @entity3 . CONCLUSIONS: @entity3557 @entity1 with @entity75 , especially with potential rCLN @entity3 , are at considerable risk of RPELN @entity3 . RPELN dissection should be considered in these @entity1 .
