Surgical Treatment

  • Ying K’ai Wu
  • Guo Jun Huang


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 [1], 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 [2] 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 [4] reported the first successful resection of a carcinoma of the thoracic esophagus and Zaaiger [5] announced the first successful esophagogastrectomy for carcinoma of the gastric cardia. Ohsawa, in 1932 [6], reported his experience in resection of cancer of the lower end of the esophagus or gastric cardia via an abdominal approach. In 1938, Marshall [7] and Adams and Phemister [8] independently related their successes in resection of carcinoma of the esophagus and intrathoracic esophagogastrostomy in one intervention. Sweet [9], Garlock [10], and others further developed this type of operation during the next decade. In 1949, Brewer [11] employed a combined thoracocervical approach for resection of a carcinoma of the upper esophagus and performed an esophagogastrostomy at the cervical level.


Esophageal Cancer Esophageal Carcinoma Operative Mortality Resectability Rate Preoperative Irradiation 
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© Springer-Verlag Berlin Heidelberg 1984

Authors and Affiliations

  • Ying K’ai Wu
  • Guo Jun Huang

There are no affiliations available

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