Abstract
Unlike some other malignancies, such as colon and breast carcinoma, recent progress in the management of esophageal carcinoma has been limited. The overall prognosis for this disease remains dismal, having improved only marginally over recent decades. Because most patients present with advanced stage carcinomas, treatment is usually palliative, and only a minority of patients are cured by surgery. Even when the disease is confined to the esophagus, there is only about a 50% chance of 5-year survival after surgical resection.
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References
Akiyama H, Tsurumaru M, Udgawa H, Kajiyama Y (1994) Radical lymph node dissection for cancer of the thoracic esophagus. Ann Surg 220:364–373
Akiyama H, Tsurumaru M, Udgawa H, Kajiyama Y (1997) Esophageal cancer. Curr Probs in Surg 10: 765–834
Altorki NK, Girardi L, Skinner DB (1994) Squamous cell carcinoma of the esophagus: therapeutic dilemma. World J Surg 18:308–311
Altorki NK, Skinner DB (1997) Occult cervical nodal metastases in esophageal cancer: preliminary results of 3-field lymphadenectomy. J Thorac Cardiovasc Surg 113:540–544
Bessell JR, Devitt PG, Gill PG, Goyal S, Jamiesson GG (1996) Prolonged survival follows resection of esophageal SCC downstaged by prior chemoradiotherapy. Aust NZ J Surg 66:214–217
Bhansali MS, Fujita H, Kakegawa T, Yamana H, Ono T, Hikita S, Toh Y, Fujii T, Tou U, Shirouzu K (1997) Pattern of recurrence after extended radical esophagectomy with 3-field lymph node dissection for squamous cell carcinoma in the thoracic esophagus. World J Surg 21:275–281
Bhansali MS, Patil PK, Badwe RA, Havaldar R, Desai PB (1997) Historical control bias: adjuvant chemotherapy in esophageal cancer. Dis Esoph 10:51–54
Bolton JS, Ochsner JL, Abdoh AA (1994) Surgical management of esophageal cancer. A decade of change. Ann Surg 219:475–480
Ellis FH, Gibb SP, Watkins E (1985) Overview of the current management of carcinoma of the esophagus and cardia. Can J Surg 28:493–496
Goldmine M, Maddern GJ, LePrise W, Meunier B, Campion JP, Launois B (1993) Esophagectomy by a transhiatal approach or thoracotomy: a prospective randomised trial. Br J Surg 80:367–370
Hagen JA, Peters JH, DeMeester TR (1993) Superiority of extended en bloc esophagectomy for carcinoma of the lower esophagus and cardia. J Thor Cardiovasc Surg 106:850–859
Horstmann O, Verreet PR, Becker H, Ohmann C, Roher H-D (1995) Transhiatal esophagectomy compared with transthoracic resection and systemic lymphadenectomy for the treatment of esophageal cancer. Eur J Surg 161:557–567
Isono K, Sato H, Nakayama K (1991) Results of a nationwide study on the 3-field lymph node dissection of esophageal cancer. Oncology 48:411–420
Kato H, Tachimori Y, Watanabe H, Kikuchi S, Umemura A (1996) Recurrent disease after esophagectomy with 3-field lymph node dissection for thoracic esophageal carcinoma. In: Peraccia A, Rosati R, Bonavina L, Bona S, Chella B (eds) Recent Advances in Diseases of the Esophagus. Monduzzi Editore, Bologna, Italy, pp 405–410
Kato H, Watanabe H, Tachimori Y, Iizuka T (1991) Evaluation of neck lymph node dissection for thoracic esophageal carcinoma. Ann Thor Surg 51: 931–935
Law SYK, Fok M, Wong J (1996) Pattern of recurrence after resection for cancer: clinical implications. Br J Surg 83:107–111
Logan A (1963) The surgical treatment of carcinoma of the esophagus and cardia. J Cardiovasc Surg 46:150–163
Mannell A, Becker PJ (1991) Evaluation of the results of esophagectomy for esophageal cancer. Br J Surg 78:36–40
Nishihira T, Hirayama K, Mori S (1998) A prospective randomized trial of extended cervical and superior mediastinal lymphadenectomy for carcinoma of the thoracic esophagus. Am J Surg 175: 47–51
Orringer MB (1997) Editorial on Occult cervical nodal metastases in esophageal cancer: preliminary results of 3-field lymphadenectomy. J Thorac Cardiovasc Surg 113:538–539
Orringer MB, Marshall B, Stirling MC (1993) Transhiatal esophagectomy for benign and malignant disease. J Thorac Cardiovasc Surg 105:265–276
Roder JD, Busch R, Stein HJ, Fink U, Siewert JR (1994) Ratio of invaded to removed lymph nodes as a predictor of survival in squamous cell carcinoma of the esophagus. Br J Surg 81:410–413
Skinner DB (1983) En bloc resection for neoplasms of the esophagus and cardia. J Cardiovasc Surg 85:59–71
Tam PC, Cheung HC, Ma L, Siu KF, Wong J (1987) Local recurrences after subtotal esophagectomy for squamous cell carcinoma. Ann Surg 205:189–194
Walsh TN, Noonan N, Hollywood D, Kelly A, Keeling, Hennessy TP (1996) A comparison of multimodal therapy and surgery for esophageal adenocarcinoma. N Engl J Med 335:462–467
Watson A (1994) Operable esophageal cancer: Results from the West. World J Surg 18:361–366
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Watson, D.I., Jamieson, G.G. (2009). Results of Extended en bloc Esophagectomy in Treatment of Patients with Esophageal Cancer. In: Izbicki, J.R., et al. Surgery of the Esophagus. Steinkopff. https://doi.org/10.1007/978-3-7985-1743-1_12
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DOI: https://doi.org/10.1007/978-3-7985-1743-1_12
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