Jurnalul de Chirurgie
 Jurnalul de chirurgie
Aparitie trimestriala in a doua luna a trimestrului
Published quarterly in the second month of the quarter
ISSN: 1584 - 9341 Vol.10 Nr.3 - Iulie-Septembrie 2014 | luni, 21 ianuarie 2019
ISSN: 1584 - 9341 Vol.10 No.3 - July-September 2014
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THERAPEUTIC STRATEGIES IN OESOPHAGEAL CANCER: THE PLACE OF SURGICAL TREATEMENT
B. Filip, I. Huțanu, I. Radu, Maria-Gabriela Aniţei, V. Scripcariu
Universitatea de Medicină și Farmacie „Gr.T. Popa” Iași
Clinica I Chirurgie Oncologică, Institutul Regional de Oncologie Iași
Jurnalul de chirurgie (Iaşi) 2013; 9(2): 137-148.
Full text: 
Format PDF (Română/Romanian)

Abstract:

Any attempt to define the place of surgery in the treatement of oesophageal cancer should consider the major changes that occurred during the last two decades: major shift in histologic type, improved staging methods, spectacular reduction of operative risk, standardization of oncologic principles of resection and the development of multimodality therapeutic strategies. Surgical treatement plays an essential role in management of esophageal cancer and it is prefferable to be done by trained surgical teams in large volume centers. Optimal surgical treatment strategies include appropriate patient selection, accurate staging, and risk assesment, selection of appropriate surgical approach, and the use of multimodality treatement.Esophagectomy remaines the main treatement of esophageal carcinoma, but in half of cases patients are unresectable at the time of diagnosis due to presence of systemic disease.Two major surgical strategies to improve survival rates after esophagectomy have emerged during the past decades: limited (transhiatal esophagectomy) and extended  (transthoracic esophagectomy) with two field lymphadenectomy. In the short term, transhiatal esophagectomy is accompanied by less morbidity, in the long term is preferable for tumors at gastro-oesophageal junction without involved lymph nodes of chest. For patiets suitable for surgery, transthoracic esophagectomy with mediastinal and abdominal lymphadenectomy is preferred. This article provides un up-to-date of options for surgical managing of esophageal cancer and outlines of surgical technique.

HOW TO CITE: Filip B, Huțanu I, Radu I, Aniţei MG, Scripcariu V. [Therapeutic strategies in oesophageal cancer: the place of surgical treatement] Jurnalul de chirurgie (Iaşi). 2013; 9(2): 137-148. DOI: 10.7438/1584-9341-9-2-4.


: Creative Commons License
Jurnalul de chirurgie [Journal of Surgery] by Editorial Board, Department of Surgery University of Medicine and Pharmacy Iasi, E. Tarcoveanu, R. Moldovanu is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.
Based on a work at www.jurnaluldechirurgie.ro.