Short and long-term advantages of transhiatal and transthoracic oesophageal cancer resection

Abstract Two major surgical strategies to improve survival rates after oesophagectomy for oesophageal cancer have emerged during the past decades; (limited) transhiatal oesophagectomy and (extended) transthoracic oesophagectomy with two-field lymphadenectomy. This overview describes short and long-t...

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Veröffentlicht in:European journal of surgical oncology 2009-08, Vol.35 (8), p.793-797
Hauptverfasser: Omloo, J.M.T, Law, S.Y.K, Launois, B, Le Prisé, E, Wong, J, van Berge Henegouwen, M.I, van Lanschot, J.J.B
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container_end_page 797
container_issue 8
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container_title European journal of surgical oncology
container_volume 35
creator Omloo, J.M.T
Law, S.Y.K
Launois, B
Le Prisé, E
Wong, J
van Berge Henegouwen, M.I
van Lanschot, J.J.B
description Abstract Two major surgical strategies to improve survival rates after oesophagectomy for oesophageal cancer have emerged during the past decades; (limited) transhiatal oesophagectomy and (extended) transthoracic oesophagectomy with two-field lymphadenectomy. This overview describes short and long-term advantages of these two strategies. In the short term, transhiatal oesophagectomy is accompanied by less morbidity. In the long term, this strategy is only preferable for patients with tumours located at the gastro-oesophageal junction, without involved lymph nodes in the proximal compartment of the chest. For patients with tumours located in the oesophagus, the transthoracic route with extended lymphadenectomy is probably preferred, because of improved long-term survival.
doi_str_mv 10.1016/j.ejso.2008.10.005
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subjects Advantages
Esophageal Neoplasms - pathology
Esophageal Neoplasms - surgery
Esophagectomy - methods
Hematology, Oncology and Palliative Medicine
Humans
Lymph Node Excision
Lymphatic Metastasis
Neoplasm Staging
Oesophageal cancer
Surgery
Survival
Transhiatal
Transthoracic
title Short and long-term advantages of transhiatal and transthoracic oesophageal cancer resection
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