Surgeons have striven for over 100 years to achieve curative or palliative results with surgical treatment of carcinoma of the esophagus and gastric cardia. The first recorded survival after resection of cancer of the esophagus was reported by Czerny in 1887 , the patient being a 51-year-old woman who lived for a year following resection of a tumor in the cervical segment. In 1909 Evans  combined resection of a cervical esophageal carcinoma with pharyngolaryngectomy and the patient lived for 24 years after operation. In 1911 Lane [quoted in 3] related his experience of esophagoplasty with a cervical skin flap following resection of cancer of the cervical esophagus. In 1913 Torek  reported the first successful resection of a carcinoma of the thoracic esophagus and Zaaiger  announced the first successful esophagogastrectomy for carcinoma of the gastric cardia. Ohsawa, in 1932 , reported his experience in resection of cancer of the lower end of the esophagus or gastric cardia via an abdominal approach. In 1938, Marshall  and Adams and Phemister  independently related their successes in resection of carcinoma of the esophagus and intrathoracic esophagogastrostomy in one intervention. Sweet , Garlock , and others further developed this type of operation during the next decade. In 1949, Brewer  employed a combined thoracocervical approach for resection of a carcinoma of the upper esophagus and performed an esophagogastrostomy at the cervical level.
KeywordsEsophageal Cancer Esophageal Carcinoma Operative Mortality Resectability Rate Preoperative Irradiation
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