Authors: Brittany L Willer Sumeet K Mittal Stephanie G Worrell Seemal Mumtaz Tommy H Lee
Publish Date: 2010/06/08
Volume: 14, Issue: 8, Pages: 1201-1206
Abstract
Esophageal resection remains an integral part of treatment for esophageal cancer Traditionally the two open operative techniques which incorporate a cervical esophagogastric anastomosis have been transhiatal esophagectomy THE and transthoracic esophagectomy with en bloc lymphadenectomy TTE The clinical decision as to which of these two procedures would best serve the patient often rests on the following notion the goal of THE is to reduce early postoperative morbidity and mortality by avoiding a thoracotomy whereas the goal of TTE is to increase longterm survival by employing wide excision and extensive node dissection in the mediastinum and abdomen12 En bloc esophagectomy has been shown to increase survival by decreasing locoregional disease recurrence related to micrometastatic disease3Transhiatal esophagectomy is often associated with increased locoregional failure rates in the absence of extended lymphadenectomy and has the potential to cause
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