Universität zu Köln

Gockel, I. and Schroeder, W. (2014). Surgery for esophageal cancer. Onkologe, 20 (12). S. 1195 - 1200. NEW YORK: SPRINGER. ISSN 1433-0415

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Abstract

Surgery for esophageal cancer is the mainstay of curative therapy. The standard procedure for carcinomas of the middle and distal esophagus at present is transthoracic en bloc esophagectomy in combination with reconstruction by gastric pull-up and high intrathoracic esophagogastrostomy (so-called Ivor Lewis resection). Research and analysis of the current literature. Transthoracic en bloc esophagectomy routinely includes a two field lymph node dissection. There exists a clear correlation between the extent of lymphadenectomy and the prognosis. The abdominal as well as the thoracic part of the procedure can be managed by minimally invasive or hybrid technique. Selection of patients and preoperative risk analysis are of special significance before surgery. There is a close link between the preoperative risk and the postoperative course. In addition, clinical volume and surgeons' case experience decisively influence the perioperative and oncological results. A current meta-analysis did not show an increased risk of postoperative complications after neoadjuvant chemotherapy or radiochemotherapy compared with surgery alone.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Gockel, I. UNSPECIFIED UNSPECIFIED UNSPECIFIED Schroeder, W. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-421836
DOI:	10.1007/s00761-014-2758-3
Journal or Publication Title:	Onkologe
Volume:	20
Number:	12
Page Range:	S. 1195 - 1200
Date:	2014
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1433-0415
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language MINIMALLY INVASIVE ESOPHAGECTOMY; PREOPERATIVE RISK ANALYSIS; BODY-MASS INDEX; HOSPITAL VOLUME; MORTALITY; SURVIVAL; ADENOCARCINOMA; METAANALYSIS; CHEMORADIOTHERAPY; RESECTION Multiple languages Oncology Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/42183