[Changes in the surgical treatment of esophageal cancer].
The surgical treatment of esophageal cancer has improved considerably during the past 50 years, and the operative mortality rate has become less than 5%. Indications for surgery have been extended and the postoperative outcome has improved to give a 5-year survival rate of 25% through combined use of radiation and chemotherapy. Recently, extended surgery with lymphadenectomy of the neck, thorax and abdomen has become widely performed. As a result, the recurrence rate in nodes has decreased, while that in organs has increased. It is thus important to establish a suitable form of chemotherapy as well as achieving early detection of cancer.
Isono
K
K
2nd Dept. of Surgery, School of Medicine, Chiba University.
D000714:Anastomosis, Surgical; D004938:Esophageal Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D004947:Esophagus / Q000601:surgery; D006801:Humans; D008197:Lymph Node Excision; D008207:Lymphatic Metastasis; D013270:Stomach / Q000601:surgery