title: [Achievements of tumor surgery in tumors of the esophagus].
abstract: In the past the decisive problem influencing the prognosis of esophageal cancer was the high death rate of patients undergoing esophagectomy (approximately 30%). Intensive analysis of the preoperative risk factors, standardization of the operative procedure and improvement of postoperative intensive care have lowered this to an average of 15%, in specialized clinics to 7-8% and in especially selected patients even to 3%. The operation is the best therapeutic procedure for tumors which do not yet extend beyond the muscularis of the esophageal wall and in which less than 5 mediastinal lymph nodes are metastatically involved.
authors.affiliation: Chirurgische Klinik der Technischen Universität München.
authors.forename: J R
authors.initials: JR
authors.lastname: Siewert
mesh_terms: D003131:Combined Modality Therapy; D004938:Esophageal Neoplasms / Q000473:pathology / Q000601:surgery*; D006801:Humans; D009367:Neoplasm Staging; D011183:Postoperative Complications / Q000401:mortality*; D011379:Prognosis
vernacular_title: Leistungen der Tumorchirurgie bei Tumoren der Speiseröhre.