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Surg Oncol Clin N Am. 1999 Apr;8(2):279-94.

Standard resection for cancer of the esophagus and cardia.

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Division of Cardiothoracic Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts 02215, USA.


Standard techniques of esophagectomy are the most common operations currently performed for cancer of the esophagus and cardia. A review of the recent literature discloses a wide difference in findings and postoperative results. A review of the findings and results in 505 operations for cancer of the esophagus on one surgical service from January 1, 1970 to January 1, 1997 reveals a resectability rate of 90%, a hospital mortality rate of 3.3%, a postoperative complication rate of 33.9%, and an adjusted actuarial 5-year survival rate of 24. 7%. As yet, neither the use of neoadjuvant therapy nor extended techniques or resection, even when applied only in patients with low-grade lesions, have provided convincing evidence of their superiority over standard resection techniques.

[Indexed for MEDLINE]

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