[Value of clinical and experimental results for general practice in esophageal surgery].
The most important results given by recent clinical studies concerning antireflux surgery are aimed at the avoidance of side effects. This seems to be achieved through the modification of the fundoplication (looser and shorter cuff). Up to now risk analysis in esophageal cancer was at the center of considerations; results were influenced by the patient's risk factors and surgical complications in the reconstruction. On the basis of such analyses, individual risk is now exactly predictable. Decisive prognostic factors are the complete extirpation of the tumors (R0-resection) and the nodal status (greater than 8 involved mediastinal lymph nodes). More attention is paid to the early detection of the malignant potency of the endobrachesophagus.
Siewert
J R
JR
Chirurgische Klinik und Poliklinik, Technischen Universität München, Bundesrepublik Deutschland.
D000230:Adenocarcinoma / Q000601:surgery*; D001471:Barrett Esophagus / Q000601:surgery*; D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D004938:Esophageal Neoplasms / Q000601:surgery*; D016629:Esophagectomy / Q000379:methods; D005764:Gastroesophageal Reflux / Q000601:surgery*; D006801:Humans; D011230:Precancerous Conditions / Q000601:surgery*; D013536:Suture Techniques
Wert klinischer und experimenteller Ergebnisse für die Praxis in der Oesophaguschirurgie.