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Leistungen der Tumorchirurgie bei Tumoren der Speiseröhre

Achievements of Esophageal Tumor Surgery

  • Conference paper
Verhandlungen der Deutschen Gesellschaft für Chirurgie

Part of the book series: Langenbecks Archiv für Chirurgie ((KONGRESSBAND,volume 1988))

Summary

In the past the decisive problem influencing the prognosis of esophageal cancer was the high death rate of patients undergoing esophagectomy (approximately 30%). Intensive analysis of the preoperative risk factors, standardization of the operative procedure and improvement of postoperative intensive care have lowered this to an average of 15%, in specialized clinics to 7–8% and in especially selected patients even to 3%. The operation is the best therapeutic procedure for tumors which do not yet extend beyond the muscularis of the esophageal wall and in which less than 5 mediastinal lymph nodes are metastatically involved.

Zusammenfassung

Das entscheidende, die Prognose des Oesophaguscarcinoms belastende Problem war in der Vergangenheit die hohe Letalität der Oesophagektomie (ca. 30%). Durch intensive Analyse präoperativer Risikofaktoren, durch Standardisierung des operativen Eingriffs und durch eine Verbesserung der postoperativen Intensivmedizin ist es gelungen, die Letalität der Oesophagektomie auf ~ 15%, in Zentren auf 7–8% und in selektierten Patientenkollektiven sogar auf 3% zu senken. Die Operation ist das beste Therapieverfahren bei Tumoren, die die Muskularis der Oesophaguswand noch nicht überschritten haben und bei denen weniger als 5 Mediastinallymphknoten metastatisch befallen sind.

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Authors and Affiliations

  1. Chirurgische Klinik, Technischen Universität München, Ismaningerstr. 22, D-8000, München 80, Deutschland

    J. R. Siewert

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  1. J. R. Siewert
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© 1988 Springer-Verlag Berlin Heidelberg

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Siewert, J.R. (1988). Leistungen der Tumorchirurgie bei Tumoren der Speiseröhre. In: Verhandlungen der Deutschen Gesellschaft für Chirurgie. Langenbecks Archiv für Chirurgie, vol 1988. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-48161-1_27

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  • DOI: https://doi.org/10.1007/978-3-642-48161-1_27

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-50433-7

  • Online ISBN: 978-3-642-48161-1

  • eBook Packages: Springer Book Archive

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