title: Surgical treatment for esophageal carcinoma.
abstract: Advances in surgery as primary treatment for esophageal cancer are dependent upon early diagnosis, a systematic resection of periesophageal tissues by an en bloc resection, improved results of esophageal anastomoses with decreased risk and morbidity, and knowledge of the impact of staging on prognosis. More exact pathologic staging sets the stage for evaluation of adjuvant therapy protocols. Patients with favorable staging have a high chance that en bloc surgical resection is curative. For those with more advanced disease, surgery continues to offer a role through palliative resection or bypass to relieve severe dysphagia.
mesh_terms: D003131:Combined Modality Therapy; D003680:Deglutition Disorders / Q000601:surgery; D004938:Esophageal Neoplasms / Q000175:diagnosis / Q000401:mortality / Q000601:surgery*; D004944:Esophagoplasty / Q000379:methods; D004947:Esophagus / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D010166:Palliative Care; D011182:Postoperative Care; D011300:Preoperative Care; D011379:Prognosis; D014057:Tomography, X-Ray Computed