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Updated: Aug 15, 2026

An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
Published on: April 17, 2020
[Changes in the surgical treatment of esophageal cancer]
12nd Dept. of Surgery, School of Medicine, Chiba University.
Abstract:
The surgical treatment of esophageal cancer has improved considerably during the past 50 years, and the operative mortality rate has become less than 5%. Indications for surgery have been extended and the postoperative outcome has improved to give a 5-year survival rate of 25% through combined use of radiation and chemotherapy. Recently, extended surgery with lymphadenectomy of the neck, thorax and abdomen has become widely performed. As a result, the recurrence rate in nodes has decreased, while that in organs has increased. It is thus important to establish a suitable form of chemotherapy as well as achieving early detection of cancer.
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