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Surgery for esophageal carcinoma.

T Lerut1, P De Leyn, W Coosemans

  • 1Department of Surgery, Catholic University of Leuven, Belgium.

Journal Belge De Radiologie
|January 1, 1991
PubMed
Summary

This study on thoracic esophageal carcinoma treatment found that surgery offers the best chances for cure and palliation. Advanced surgical techniques like extensive resection and lymphadenectomy significantly improve survival rates for esophageal cancer patients.

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In Memoriam Professor Dr. Albert Lacquet (1904-2003).

Acta chirurgica Belgica·2018

Area of Science:

  • Surgical Oncology
  • Gastroenterology
  • Thoracic Surgery

Background:

  • Carcinoma of the thoracic esophagus presents significant treatment challenges.
  • Surgical intervention is a cornerstone in managing esophageal cancer.

Purpose of the Study:

  • To evaluate the outcomes of surgical treatment for thoracic esophageal carcinoma.
  • To assess the impact of surgical techniques on patient survival and functional results.

Main Methods:

  • Retrospective analysis of 257 patients treated between 1975 and 1988.
  • Evaluation of operability, resectability, hospital mortality, and survival rates.
  • Analysis of pTNM staging, tumor type, and surgical approach (radical vs. non-radical resection).

Main Results:

  • Overall resectability was 77%, with a decreasing hospital mortality rate over time.
  • 5-year survival varied significantly by pTNM stage, from 90% in Stage I to 0% in Stage IV.
  • Extensive resection and lymphadenectomy improved survival rates.
  • Barrett adenocarcinomas showed comparable prognosis to other esophageal carcinomas.
  • Functional results were excellent in 86.5% at 1 year, with lower rates of peptic esophagitis for cervical anastomoses.

Conclusions:

  • Surgery in experienced centers provides optimal staging and the best chance for cure or palliation in esophageal cancer.
  • Radical surgical approaches and extended lymphadenectomy are associated with improved survival.
  • Careful consideration of anastomosis type is important for functional outcomes and complication rates.

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