Онкология TRANSHIATAL ESOPHAGECTOMY VERSUS TRANSTHORACIC FOR ESOPHAGEAL CANCER (review of the foreign literature)
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ONCOLOGY BULLETIN OF THE VOLGA REGION

Scientific-practical Journal for general practitioners and researchers

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TRANSHIATAL ESOPHAGECTOMY VERSUS TRANSTHORACIC FOR ESOPHAGEAL CANCER (review of the foreign literature)

E.G. Dmitriyev, N.V. Mikhailova

Abstract. Esophageal cancer continues to represent a formidable challenge for both patients and clinicians. Relative 5-year survival rates for patients have improved over the past three decades, probably linked to a combination of improved surgical outcomes, progress in systemic chemotherapy and radiotherapy, and the increasing acceptance of inn Uunodality treatment. Surgical treatment remains a fundamental component of the treatment of localized esophageal adenocarcinoma. Multiple approaches have been described for esophagectomy, which can be thematically grouped under two major categories: either transthoracic or transhiatal. The main controversy rests on whether a more extended resection through thoracotomy provides superior oncological outcomes as opposed to resection with relatively limited morbidity and mortality through a transhiatal approach. After numerous trials have addressed these issues, neither approach has consistently proven to be superior to the other one, and both can provide excellent short-term results in the hands of experienced surgeons. Moreover, the available literature suggests that experience of the surgeon and hospital in the surgical management of esophagea' cancer is an important factor for operative morbidity and mortality rates, which could supersede the type of approach selected. Oncologic I outcomes appear to be similar after both procedures.

Key words: esophageal cancer, transhiatal esophageal resection, transthoracic esophageal resection.

 





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