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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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Department of Surgery, University of Amsterdam, The Netherlands.


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.

[Indexed for MEDLINE]

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