Universität zu Köln

Hoeppner, Jens, Plum, Patrick Sven, Buhr, Heinz, Gockel, Ines, Lorenz, Dietmar, Ghadimi, Michael and Bruns, Christiane . Surgical treatment of esophageal cancer-Indicators for quality in diagnostics and treatment. Chirurg. HEIDELBERG: SPRINGER HEIDELBERG. ISSN 1433-0385

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Abstract

Background Within the framework of the quality initiative of the German Society for General and Visceral Surgery (DGAV) a review article was compiled based on a systematic literature search. Recommendations for the current diagnostics and treatment of esophageal cancer were also elaborated. Methods The systematic literature search was carried out in March 2019 according to the PRISMA criteria using the MEDLINE databank. The recommendations were formulated based on a consensus in the DGAV. Results and conclusion Operations below the currently valid minimum quantity threshold should no longer be carried out. There are many indications that the minimum quantity in Germany should be raised to >= 20 resections/year/hospital in order to comprehensively improve the quality. Prehabilitation programs with endurance, strength and intensive breathing training as well as nutritional therapy improve patient outcome. The current treatment of esophageal cancer is stage-dependent and incorporates endoscopic resection of (sub)mucosal low-risk tumors (T1m1-3 or T1sm1 low risk), primary esophagectomy of submucosal high-risk tumors (T1a), submucosal cancer (T1sm2-3) and T2N0 tumors, multimodal treatment with neoadjuvant chemoradiotherapy or perioperative chemotherapy and operations for advanced stages. Esophagectomy is nowadays carried out in one stage as a so-called hybrid procedure (laparoscopy and muscle-preserving thoracotomy) or as a total minimally invasive operation (laparoscopy and thoracoscopy)

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Hoeppner, Jens UNSPECIFIED UNSPECIFIED UNSPECIFIED Plum, Patrick Sven UNSPECIFIED UNSPECIFIED UNSPECIFIED Buhr, Heinz UNSPECIFIED UNSPECIFIED UNSPECIFIED Gockel, Ines UNSPECIFIED UNSPECIFIED UNSPECIFIED Lorenz, Dietmar UNSPECIFIED UNSPECIFIED UNSPECIFIED Ghadimi, Michael UNSPECIFIED UNSPECIFIED UNSPECIFIED Bruns, Christiane UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-319951
DOI:	10.1007/s00104-020-01267-8
Journal or Publication Title:	Chirurg
Publisher:	SPRINGER HEIDELBERG
Place of Publication:	HEIDELBERG
ISSN:	1433-0385
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language MINIMALLY-INVASIVE-ESOPHAGECTOMY; SQUAMOUS-CELL CARCINOMA; ENDOSCOPIC SUBMUCOSAL DISSECTION; IVOR LEWIS ESOPHAGECTOMY; IN-HOSPITAL MORTALITY; ESOPHAGOGASTRIC JUNCTION; PERIOPERATIVE CHEMOTHERAPY; MULTICENTER-ANALYSIS; BARRETTS-ESOPHAGUS; ADENOCARCINOMA Multiple languages Surgery Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/31995