Universität zu Köln

Metzger, Ralf, Schuetze, Frank and Moenig, Stefan (2015). Evidence-Based Operative Details in Esophageal Cancer Treatment: Surgical Approach, Lymphadenectomy, Anastomosis. Viszeralmedizin, 31 (5). S. 337 - 341. BASEL: KARGER. ISSN 1662-6672

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Abstract

Background: This review depicts surgical treatment strategies in the management of esophageal cancer under the focus of evidence-based medicine. The main emphasis lies on technical details, i.e. surgical approach, lymphadenectomy, and current techniques of anastomosis. Methods: The current literature on operative details in esophageal cancer treatment was reviewed. Surgical approaches and different techniques of anastomotic reconstruction utilizing a gastric tube were compared. The grade of evidence regarding the necessity and extent of lymphadenectomy was discussed. Results: There is no level-1 evidence-based difference regarding the surgical approach for esophagectomy. The preferred anastomosis site is intrathoracic compared to the neck. Extended lymphadenectomy is still imperative in esophagectomy although neoadjuvant protocols might also result in a downstaging effect of lymph nodes. Neoadjuvant regimens have no negative influence on complication rate and anastomotic integrity. Conclusion: A tailored interdisciplinary approach to the patients' physiology and esophageal cancer stage is the most important factor that influences operative outcome and oncological results after esophagectomy. (C) 2015 S. Karger GmbH, Freiburg

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Metzger, Ralf UNSPECIFIED UNSPECIFIED UNSPECIFIED Schuetze, Frank UNSPECIFIED UNSPECIFIED UNSPECIFIED Moenig, Stefan UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-392368
DOI:	10.1159/000441017
Journal or Publication Title:	Viszeralmedizin
Volume:	31
Number:	5
Page Range:	S. 337 - 341
Date:	2015
Publisher:	KARGER
Place of Publication:	BASEL
ISSN:	1662-6672
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language MECHANICAL ESOPHAGOGASTRIC ANASTOMOSIS; MINIMALLY INVASIVE ESOPHAGECTOMY; LYMPH-NODE DISSECTION; LONG-TERM SURVIVAL; TRANSHIATAL ESOPHAGECTOMY; HAND-SEWN; RESECTION; OUTCOMES; ADENOCARCINOMA; IMPACT Multiple languages Surgery Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/39236