Standard resection for cancer of the esophagus and cardia.
Standard techniques of esophagectomy are the most common operations currently performed for cancer of the esophagus and cardia. A review of the recent literature discloses a wide difference in findings and postoperative results. A review of the findings and results in 505 operations for cancer of the esophagus on one surgical service from January 1, 1970 to January 1, 1997 reveals a resectability rate of 90%, a hospital mortality rate of 3.3%, a postoperative complication rate of 33.9%, and an adjusted actuarial 5-year survival rate of 24. 7%. As yet, neither the use of neoadjuvant therapy nor extended techniques or resection, even when applied only in patients with low-grade lesions, have provided convincing evidence of their superiority over standard resection techniques.
Ellis
F H
FH
Division of Cardiothoracic Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts 02215, USA.
D000230:Adenocarcinoma / Q000601:surgery*; D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D002299:Cardia; D004938:Esophageal Neoplasms / Q000401:mortality / Q000601:surgery*; D016629:Esophagectomy / Q000379:methods; D006801:Humans; D013274:Stomach Neoplasms / Q000401:mortality / Q000601:surgery*; D016896:Treatment Outcome