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Updated: Aug 10, 2026

An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
Published on: April 17, 2020
[Current status of surgical therapy concepts with curative intent in esophageal cancer]
A H Hölscher1, E Bollschweiler, J D Roder
1Chirurgische Klinik und Poliklinik, TU München.
Abstract:
Curative surgical treatment of esophageal cancer involves the complete macroscopic and microscopic removal of the tumor (R0-resection), since this is the only means by which the prognosis can be improved. The treatment of choice for squamous cell cancer is transthoracic en bloc esophagectomy. Tumors penetrating the esophageal wall (T3/T4) above the tracheal bifurcation and T4 tumors below the bifurcation should be treated preoperatively by (radio)chemotherapy within the framework of a multimodal therapeutic approach.
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