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Optimal Surgical Approach to Esophagectomy for Distal Esophageal Adenocarcinoma

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Difficult Decisions in Thoracic Surgery

Part of the book series: Difficult Decisions in Surgery: An Evidence-Based Approach ((DDSURGERY,volume 1))

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Abstract

Esophagectomy can be performed using transthoracic, transhiatal, and minimally-invasive approaches, with reconstruction via intrathoracic or cervical anastomoses. The optimal surgical approach to esophagectomy for cancer has been a subject of debate for decades, with assumed trade-offs between lymph node retrieval and perioperative morbidity. This chapter reviews the literature comparing esophageal procedures, examining studies investigating how technical considerations influence perioperative morbidity, mortality, functional outcomes, and survival for distal esophageal cancer.

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Correspondence to Sabha Ganai MD, PhD .

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Ganai, S. (2014). Optimal Surgical Approach to Esophagectomy for Distal Esophageal Adenocarcinoma. In: Ferguson, M. (eds) Difficult Decisions in Thoracic Surgery. Difficult Decisions in Surgery: An Evidence-Based Approach, vol 1. Springer, London. https://doi.org/10.1007/978-1-4471-6404-3_25

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  • DOI: https://doi.org/10.1007/978-1-4471-6404-3_25

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