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Minimally Invasive Esophagectomy

  • Philippe NafteuxEmail author
  • Georges Decker
  • Toni E. M. R. Lerut
Chapter
  • 2.2k Downloads

Abstract

Radical surgery currently offers the most realistic chance of cure for cancer of the esophagus or gastroesophageal junction (GEJ) when spread beyond the most superficial epithelial layers, but not extending beyond locoregional lymph nodes [1, 2]. Nowadays experienced centers can consistently perform such an aggressive “conventional” surgery with mortality rates of 3–5% and consistently obtain overall 5-year survival rates of at least 35–40% [1–3]. Few other oncological operations however are as heavily influenced by experience than esophagectomy for cancer, and experienced centers not only achieve lower mortality rates but also much higher cure rates than low-volume centers [4, 5]. However, despite considerable improvements in outcome due to better cancer staging, patient selection, and surgical techniques during the last decade, overall and pulmonary complication rates have remain sufficiently high to encourage the search for alternative operative techniques that could potentially achieve similar cure rates but with less morbidity and probably a better post-operative quality of life.

Keywords

Gastric Tube Minimally Invasive Esophagectomy Cervical Esophagus Endoscopic Balloon Dilation Gastric Conduit 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  • Philippe Nafteux
    • 1
    Email author
  • Georges Decker
    • 1
  • Toni E. M. R. Lerut
    • 1
  1. 1.Department of Thoracic SurgeryUZ GasthuisbergLeuvenBelgium

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