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Esophageal Cancer pp 149–156Cite as

Principles and Approaches in Surgical Resection of Esophageal Cancer

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Abstract

Despite the scarcity of level I evidence, many strongly held opinions persist regarding best practices for the surgical management of esophageal and gastroesophageal junction tumors. The range of opinions span from a seeming nihilism, wherein the role of esophagectomy is considered to be primarily palliative, to a belief in “radical” resections, wherein an en bloc esophagectomy constitutes the major component of a curative treatment strategy. Fortunately, some data have accrued during the past decade that can help clarify at least some of the principle areas of importance in esophageal resection. This new knowledge includes clarification of the variable risks of developing nodal disease, on the basis of tumor stage, and what role the assessed risk should play in the choice of operation, the importance of operative margins, and the oncologic implications of technical complications.

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Author information

Authors and Affiliations

  1. Thoracic Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA

    Nabil Pierre Rizk MD

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  1. Nabil Pierre Rizk MD
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Correspondence to Nabil Pierre Rizk MD .

Editor information

Editors and Affiliations

  1. Hematology and Medical Oncology, Emory University Winship Cancer Institute, Atlanta, Georgia, USA

    Nabil F. Saba

  2. Hematology and Medical Oncology, Emory University Winship Cancer Institute, Atlanta, Georgia, USA

    Bassel F. El-Rayes

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© 2015 Springer International Publishing Switzerland

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Rizk, N.P. (2015). Principles and Approaches in Surgical Resection of Esophageal Cancer. In: Saba, N., El-Rayes, B. (eds) Esophageal Cancer. Springer, Cham. https://doi.org/10.1007/978-3-319-20068-2_9

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  • DOI: https://doi.org/10.1007/978-3-319-20068-2_9

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-20067-5

  • Online ISBN: 978-3-319-20068-2

  • eBook Packages: MedicineMedicine (R0)

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