Advances in the Surgical Treatment of Esophageal Cancer

作者：Ng Thomas^*; Vezeridis Michael P

来源：Journal of Surgical Oncology, 2010, 101(8): 725-729.

DOI：10.1002/jso.21566

• transthoracic esophagectomy
• transhiatal esophagectomy
• three-field esophagectomy
• minimally invasive esophagectomy
• anastomotic leak

Surgical resection remains the predominant modality in the management of esophageal cancer. Transthoracic and transhiatal esophagectomy are the procedures that are most frequently performed. Minimally invasive esophagectomy is feasible but will require further evaluation with well-designed trials and long-term follow-up before it can be widely adopted. Technical improvements have lowered the rate of cervical anastomotic leak and improved the management of thoracic anastomotic leak. Outcome studies demonstrated that the optimal mortality, morbidity, and survival outcomes are obtained when esophageal resections are performed by experienced surgeons in high-volume institutions. J. Surg. Oncol, 2010;101:725-729.

• 出版日期2010-6-15