Although different neoadjuvant therapies are being developed, surgical treatment remains the only curative therapy for esophageal
cancer. For years, the procedure of choice for esophageal cancer was the Ivor-Lewis
1
operation, later modified, as three-stage esophagectomy by McKeown.
2
With this modified procedure, the esophagus is resected by means of a right-sided
thoracotomy combined with a laparotomy using cervical esophagogastric anastomosis.
The other frequently used procedure is the transhiatal esophageal resection according
to Orringer and Sloan,
3
in which a thoracotomy is avoided. Both procedures have high complication rates,
varying from 40% to 80%, and the in-hospital mortality rate averages 5%-7.5% in experienced
centers.
4
,
5
,
6
,
7
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Article info
Publication history
Published online: January 03, 2008
Accepted:
August 25,
2007
Identification
Copyright
© 2008 Mosby, Inc. Published by Elsevier Inc. All rights reserved.
