Esophageal resection for cancer: The rationale of current practice

摘要: The prospects for patients with esophageal cancer treated surgically have improved considerably in recent years. A larger proportion of unselected can undergo resection, which now carries an acceptably low mortality rate. Serious complications arising directly from technical failure are minimal but a reduction the incidence most common cause death, pulmonary infection, and ultimately respiratory is not imminent will require concerted effort investigation modification treatment strategy to achieve this. Pathologic studies indicate that subtotal esophagectomy desirable all squamous cancers and, if possible, resection margin 10 cm should be obtained. esophagogastric anastomosis made by circular stapler very safe one, although it associated high anastomotic stricture. Survival rates resected encouraging. Half these had potentially curative resections 3.5 year survival rate was 41.3 percent, whereas those palliation, 7.3 percent. Almost their ability swallow restored, primary objective operation.