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Advances in the surgical treatment of esophageal cancer
Author(s) -
Ng Thomas,
Vezeridis Michael P.
Publication year - 2010
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/jso.21566
Subject(s) - medicine , esophagectomy , esophageal cancer , leak , anastomosis , surgery , general surgery , treatment modality , cancer , environmental engineering , engineering
Abstract Surgical resection remains the predominant modality in the management of esophageal cancer. Transthoracic and transhiatal esophagectomy are the procedures that are most frequently performed. Minimally invasive esophagectomy is feasible but will require further evaluation with well‐designed trials and long‐term follow‐up before it can be widely adopted. Technical improvements have lowered the rate of cervical anastomotic leak and improved the management of thoracic anastomotic leak. Outcome studies demonstrated that the optimal mortality, morbidity, and survival outcomes are obtained when esophageal resections are performed by experienced surgeons in high‐volume institutions. J. Surg. Oncol. 2010; 101:725‐729. © 2010 Wiley‐Liss, Inc.