Chirurgie des ?sophaguskarzinoms

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• 作者：Prof. Dr. I. Gockel MBA (1)
  W. Schr?der (2)
  
• 关键词：?sophaguskarzinom ; Transthorakale En ; bloc ; ?sophagektomie ; Minimalinvasive Operation und Hybridtechnik ; Patientenselektion ; Morbidit?t ; Esophageal cancer ; Transthoracic en bloc esophagectomy ; Minimally invasive surgery and hybrid technique ; Patient selection ; Morbidity
• 刊名：Der Onkologe
• 出版年：2014
• 出版时间：December 2014
• 年：2014
• 卷：20
• 期：12
• 页码：1195-1201
• 全文大小：377 KB
• 参考文献：1. Biere SS, Maas KW, Cuesta MA et al (2011) Cervical or thoracic anastomosis after esophagectomy for cancer: a systematic review and meta-analysis. Dig Surg 28:29-5 i.org/10.1159/000322014" target="_blank" title="It opens in new window">CrossRef
  2. Biere SS, Van Berge Henegouwen MI, Maas KW et al (2012) Minimally invasive versus open oesophagectomy for patients with oesophageal cancer: a multicentre, open-label, randomised controlled trial. Lancet 379:1887-892 i.org/10.1016/S0140-6736(12)60516-9" target="_blank" title="It opens in new window">CrossRef
  3. Blencowe NS, Strong S, Mcnair AG et al (2012) Reporting of short-term clinical outcomes after esophagectomy: a systematic review. Ann Surg 255:658-66 i.org/10.1097/SLA.0b013e3182480a6a" target="_blank" title="It opens in new window">CrossRef
  4. Blom RL, Lagarde SM, Klinkenbijl JH et al (2012) A high body mass index in esophageal cancer patients does not influence postoperative outcome or long-term survival. Ann Surg Oncol 19:766-71 i.org/10.1245/s10434-011-2103-7" target="_blank" title="It opens in new window">CrossRef
  5. Bollschweiler E, Schroder W, Holscher AH et al (2000) Preoperative risk analysis in patients with adenocarcinoma or squamous cell carcinoma of the oesophagus. Br J Surg 87:1106-110 i.org/10.1046/j.1365-2168.2000.01474.x" target="_blank" title="It opens in new window">CrossRef
  6. Coupland VH, Lagergren J, Luchtenborg M et al (2013) Hospital volume, proportion resected and mortality from oesophageal and gastric cancer: a population-based study in England, 2004-008. Gut 62:961-66 i.org/10.1136/gutjnl-2012-303008" target="_blank" title="It opens in new window">CrossRef
  7. Dantoc M, Cox MR, Eslick GD (2012) Evidence to support the use of minimally invasive esophagectomy for esophageal cancer: a meta-analysis. Arch Surg 147:768-76 i.org/10.1001/archsurg.2012.1326" target="_blank" title="It opens in new window">CrossRef
  8. Finks JF, Osborne NH, Birkmeyer JD (2011) Trends in hospital volume and operative mortality for high-risk surgery. N Engl J Med 364:2128-137 i.org/10.1056/NEJMsa1010705" target="_blank" title="It opens in new window">CrossRef
  9. Ghaferi AA, Birkmeyer JD, Dimick JB (2011) Hospital volume and failure to rescue with high-risk surgery. Med Care 49:1076-081 i.org/10.1097/MLR.0b013e3182329b97" target="_blank" title="It opens in new window">CrossRef
  10. Grotenhuis BA, Wijnhoven BP, Grune F et al (2010) Preoperative risk assessment and prevention of complications in patients with esophageal cancer. J Surg Oncol 101:270-78
  11. Holscher AH, Fetzner UK (2012) Modern diagnostics and stage-oriented surgery: therapy of adenocarcinoma of the esophagogastric junction. Chirurg 83:702-08, 710-11 i.org/10.1007/s00104-011-2264-8" target="_blank" title="It opens in new window">CrossRef
  12. Holscher AH, Schneider PM, Gutschow C et al (2007) Laparoscopic ischemic conditioning of the stomach for esophageal replacement. Ann Surg 245:241-46 i.org/10.1097/01.sla.0000245847.40779.10" target="_blank" title="It opens in new window">CrossRef
  13. Holscher AH, Schroder W, Bollschweiler E et al (2003) How safe is high intrathoracic esophagogastrostomy? Chirurg 74:726-33 i.org/10.1007/s00104-003-0649-z" target="_blank" title="It opens in new window">CrossRef
  14. Kumagai K, Rouvelas I, Tsai JA et al (2014) Meta-analysis of postoperative morbidity and perioperative mortality in patients receiving neoadjuvant chemotherapy or chemoradiotherapy for resectable oesophageal and gastro-oesophageal junctional cancers. Br J Surg 101:321-38 i.org/10.1002/bjs.9418" target="_blank" title="It opens in new window">CrossRef
  15. Luketich JD, Pennathur A, Awais O et al (2012) Outcomes after minimally invasive esophagectomy: review of over 1000 patients. Ann Surg 256:95-03 i.org/10.1097/SLA.0b013e3182590603" target="_blank" title="It opens in new window">CrossRef
  16. Markar SR, Karthikesalingam A, Thrumurthy S et al (2012) Volume-outcome relationship in surgery for esophageal malignancy: systematic review and meta-analysis 2000-011. J Gastrointest Surg 16:1055-063 i.org/10.1007/s11605-011-1731-3" target="_blank" title="It opens in new window">CrossRef
  17. Melis M, Weber JM, Mcloughlin JM et al (2011) An elevated body mass index does not reduce survival after esophag
• 作者单位：Prof. Dr. I. Gockel MBA (1)
  W. Schr?der (2)
  
  1. Klinik für Viszeral-, Transplantations-, Thorax- und Gef??chirurgie, Universit?tsklinikum Leipzig, Liebigstra?e 20, 04103, Leipzig, Deutschland
  2. Klinik und Poliklinik für Allgemein-, Viszeral- und Tumorchirurgie, Universit?tsklinik K?ln, K?ln, Deutschland
  
• ISSN：1433-0415

文摘

Context Surgery for esophageal cancer is the mainstay of curative therapy. The standard procedure for carcinomas of the middle and distal esophagus at present is transthoracic en bloc esophagectomy in combination with reconstruction by gastric pull-up and high intrathoracic esophagogastrostomy (so-called Ivor Lewis resection). Method Research and analysis of the current literature. Results Transthoracic en bloc esophagectomy routinely includes a two field lymph node dissection. There exists a clear correlation between the extent of lymphadenectomy and the prognosis. The abdominal as well as the thoracic part of the procedure can be managed by minimally invasive or hybrid technique. Selection of patients and preoperative risk analysis are of special significance before surgery. There is a close link between the preoperative risk and the postoperative course. In addition, clinical volume and surgeons-case experience decisively influence the perioperative and oncological results. A current meta-analysis did not show an increased risk of postoperative complications after neoadjuvant chemotherapy or radiochemotherapy compared with surgery alone.