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Principles of esophageal cancer surgery, including surgical approaches and optimal node dissection (2- vs. 3-field)

Principles of esophageal cancer surgery, including surgical approaches and optimal node... Perspective Principles of esophageal cancer surgery, including surgical approaches and optimal node dissection (2- vs. 3-field) Philippe Nafteux, Lieven Depypere, Hans Van Veer, Willy Coosemans, Toni Lerut Department of Thoracic Surgery, University Hospital Leuven, Belgium Correspondence to: Toni Lerut. Department of Thoracic Surgery, University Hospital Leuven, Belgium. Email: [email protected]. Surgery for esophageal carcinoma and carcinoma of the gastro-esophageal junction (GEJ) is considered as one of the most complex and challenging interventions on the digestive tract. This is due to the intimate relations with vital structures in the chest and the tendency of early lymphatic dissemination via a dense and complex submucosal network. This review article discusses the different aspects of surgical access routes in the light of the ever-evolving techniques, in particular the minimally invasive esophagectomy (MIE). The aspects of surgical approach are inextricably linked to the still ongoing debate on extent of lymphadenectomy, a debate that is obtaining a new dimension in view of the widely applied neoadjuvant therapy protocols as well as in view of the increasing importance of quality of life aspects after surgery. Finally, the authors provide a practical and patient tailored approach as applied in their center. Keywords: Esophageal cancer; lymph node dissection; transthoracic; http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Annals of Cardiothoracic Surgery Unpaywall

Principles of esophageal cancer surgery, including surgical approaches and optimal node dissection (2- vs. 3-field)

Nafteux, Philippe; Depypere, Lieven; Van Veer, Hans; Coosemans, Willy; Lerut, Toni
Annals of Cardiothoracic Surgery – Mar 1, 2017
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Publisher
Unpaywall
ISSN
2225-319X
DOI
10.21037/acs.2017.03.04
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Abstract

Perspective Principles of esophageal cancer surgery, including surgical approaches and optimal node dissection (2- vs. 3-field) Philippe Nafteux, Lieven Depypere, Hans Van Veer, Willy Coosemans, Toni Lerut Department of Thoracic Surgery, University Hospital Leuven, Belgium Correspondence to: Toni Lerut. Department of Thoracic Surgery, University Hospital Leuven, Belgium. Email: [email protected]. Surgery for esophageal carcinoma and carcinoma of the gastro-esophageal junction (GEJ) is considered as one of the most complex and challenging interventions on the digestive tract. This is due to the intimate relations with vital structures in the chest and the tendency of early lymphatic dissemination via a dense and complex submucosal network. This review article discusses the different aspects of surgical access routes in the light of the ever-evolving techniques, in particular the minimally invasive esophagectomy (MIE). The aspects of surgical approach are inextricably linked to the still ongoing debate on extent of lymphadenectomy, a debate that is obtaining a new dimension in view of the widely applied neoadjuvant therapy protocols as well as in view of the increasing importance of quality of life aspects after surgery. Finally, the authors provide a practical and patient tailored approach as applied in their center. Keywords: Esophageal cancer; lymph node dissection; transthoracic;

Journal

Annals of Cardiothoracic Surgery – Unpaywall

Published: Mar 1, 2017

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