PMID: 8944477Oct 1, 1996Paper

Selective approach to the treatment of oesophageal cancer

The British Journal of Surgery
T Junginger, P Dutkowski

Abstract

Between September 1985 and December 1994, 322 patients with oesophageal cancer were treated. Of the 190 patients who underwent operation, 173 had an oesophageal resection; in 124 this was performed as an abdominothoracic resection and in 49 by the transhiatal approach. The assessment of radicality after histological examination revealed a curative (R0) resection in 121 patients (70 per cent) and a palliative (R1-R2) resection in 52 (30 per cent). Prognosis was correlated with the extent of mediastinal lymph node dissection. In 77 patients with stage pT1-3 pN0-1 pM0 the 5-year survival rate was 40 per cent after abdominothoracic resection with two-field lymph node dissection and zero after transhiatal resection (P = 0.01). The authors propose a differentiated surgical approach involving abdominothoracic resection with two-field lymph node dissection for patients with limited tumours (pT1-3 pN0-1 M0) if the operative risk is tolerable. Transhiatal resection appears to be effective only in patients with early tumours (Union Internacional Contra la Cancrum stage 0).

References

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Citations

Jun 2, 2005·The Surgical Clinics of North America·Jules Lin, Mark D Iannettoni
Jul 24, 2001·The Annals of Thoracic Surgery·J B HulscherJ J van Lanschot
Aug 26, 1998·Critical Reviews in Oncology/hematology·Y Tachimori, H Kato
Jan 24, 2002·Journal of the American College of Surgeons·Johanna W van SandickHugo Obertop
May 30, 2002·Annals of Surgery·Robert C G MartinDavid P Jaques
Jun 24, 2011·Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia·Tomoki Makino, Yuichiro Doki
Oct 3, 2012·The Surgical Clinics of North America·Ankit Bharat, Traves Crabtree
Dec 4, 2003·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·K V Menon, T C B Dehn
Dec 4, 2003·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·G SzücsJ I Kiss
Jul 16, 1999·The American Journal of Gastroenterology·L S WangM H Huang
Dec 15, 2016·Turkish Journal of Medical Sciences·Atila EroğluÖmer Yılmaz

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