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Ann Thorac Surg. 2001 Jul;72(1):306-13.

Transthoracic versus transhiatal resection for carcinoma of the esophagus: a meta-analysis.

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1
Department of Surgery, University of Amsterdam, The Netherlands. j.b.hulscher@amc.uva.nl

Abstract

There is much controversy about the surgical approach to esophageal carcinoma: should an extensive resection be done to optimize long-term survival or should the extent of the operation be limited to obtain lower perioperative morbidity and mortality rates? We systematically reviewed the English-language literature published during the past decade, with emphasis on the differences between transthoracic and transhiatal resections regarding early morbidity, in-hospital mortality rates, and 3- and 5-year survival. Although transthoracic resections had significantly higher early (pulmonary) morbidity and mortality rates, 5-year survival was approximately 20% after both transthoracic and transhiatal resections.

PMID:
11465217
[Indexed for MEDLINE]
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