ESOPHAGEAL CANCER-TREATMENT - CURATIVE MODALITIES

被引：8

作者：

FOK, M

WONG, J

机构：

[1] Department of Surgery, University of Hong Kong, Queen Mary Hospital

来源：

EUROPEAN JOURNAL OF GASTROENTEROLOGY & HEPATOLOGY | 1994年 / 6卷 / 08期

关键词：

ESOPHAGEAL CANCER; RESULTS OF SURGERY; ENDOSCOPIC SURGERY; MULTIMODAL TREATMENT;

D O I：

10.1097/00042737-199408000-00006

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Surgery for oesophageal cancer is the treatment of choice because it offers superior quality of swallowing and a chance of cure. In experienced hands, resection can now be carried out with low morbidity and mortality. The choice of operation depends on the tumour stage and the risk of major surgery in individual patients. The efficacy of new procedures, such as video-assisted endoscopic resection or ultra-radical three-field lymphadenectomy, is under evaluation. Multimodal therapy has a promising role in selected patients with oesophageal cancer, but definitive results can only come from prospective randomized studies. More precise identification of risk factors for anastomotic failure should further reduce technique-related morbidity and mortality, and thereby improve the quality of survival.

引用

页码：676 / 683

页数：8

共 39 条

[11] Orringer M.B., Marshall B., Stirling M.C., Transhiatal esophagec-tomy for benign and malignant disease, J Thorac Cardiovasc Surg, 105, pp. 265-277, (1993)
[12] Goldminc M., Maddern G., Leprise E., Meunier B., Campion J.P., Launois B., Oesophagectomy by a transhiatal approach or thoracotomy: A prospective randomized trial, Br J Surg, 80, pp. 367-370, (1993)
[13] Fok M., Law S., Stipa F., Cheng S., Wong J., A comparison of transhiatal and transthoracic resection for oesophageal carcinoma, Endoscopy, 25, pp. 660-663, (1993)
[14] Pellegrini C., Wetter L.A., Patti M., Leichter R., Mussan G., Mori T., Bernstein G., Way L., Thoracoscope esophagomyotomy. Initial experience with a new approach for the treatment of achalasia, Ann Surg, 216, pp. 291-299, (1992)
[15] Krasna M.J., McLaughlin J.S., Thoracoscopic lymph node stagingfor esophageal cancer, Ann Thorac Surg, 56, pp. 671-674, (1993)
[16] Maerz L.L., Deveney C.W., Lopez R.R., McConnell D.B., Role ofcomputed tomographic scans in the staging of esophageal and proximal gastric malignancies, Am J Surg, 165, pp. 558-560, (1993)
[17] Fok M., Cheng S.W.K., Wong J., Endosonography in patient selection for surgical treatment of esophageal carcinoma, World J Surg, 16, pp. 1098-1103, (1992)
[18] Siewert J.R., Dittler H.J., Esophageal carcinoma: Impact of stagingon treatment, Endoscopy, 25, pp. 28-32, (1993)
[19] Azagra J.S., Ceuterick M., Goergen M., Jacobs D., Gilbart E., Zaouk G., Et al., Thoracoscopy in oesophagectomy for oesophageal cancer, Br J Surg, 80, pp. 320-321, (1993)
[20] Cuschieri A., Shimi S., Banting S., Endoscopic oesophagectomy through a right thoracoscopic approach, J R Coll Surg Edinb, 37, pp. 7-11, (1992)

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