Universität zu Köln

Jung, Minoa K., Schmidt, Thomas, Chon, Seung-Hun ORCID: 0000-0002-8923-6428, Chevallay, Mickael, Berlth, Felix, Akiyama, Junichi, Gutschow, Christian A. and Moenig, Stefan P. . Current surgical treatment standards for esophageal and esophagogastric junction cancer. Ann. N.Y. Acad. Sci.. HOBOKEN: WILEY. ISSN 1749-6632

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Abstract

A number of different surgical techniques for the treatment of cancer of the esophagus and the esophagogastric junction have been proposed. Guidelines generally recommend a transthoracic approach for esophageal cancer, including Siewert type I tumors. In tumors of the proximal esophageal third, transthoracic esophagectomy may be extended to a three-field approach, including resection of cervical lymph nodes. However, the choice between transthoracic esophagectomy with intrathoracic anastomosis (Ivor Lewis esophagectomy) and the three-incision approach with cervical esophago-gastrostomy (McKeown esophagectomy) remains controversial, with guidelines varying among different countries. Furthermore, it is commonly accepted that Siewert type III tumors should be treated by extended total gastrectomy with transhiatal resection of the lower esophagus, whereas currently no consensus exists regarding the optimal surgical approach for the treatment of Siewert type II adenocarcinoma. Likewise, there is a major controversy regarding palliative and potentially curative treatment modalities in oligometastatic disease. This review deals with current surgical treatment standards for cancer of the esophagus and the eosphagogastric junction, including discussion of ongoing trials.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Jung, Minoa K. UNSPECIFIED UNSPECIFIED UNSPECIFIED Schmidt, Thomas UNSPECIFIED UNSPECIFIED UNSPECIFIED Chon, Seung-Hun UNSPECIFIED orcid.org/0000-0002-8923-6428 UNSPECIFIED Chevallay, Mickael UNSPECIFIED UNSPECIFIED UNSPECIFIED Berlth, Felix UNSPECIFIED UNSPECIFIED UNSPECIFIED Akiyama, Junichi UNSPECIFIED UNSPECIFIED UNSPECIFIED Gutschow, Christian A. UNSPECIFIED UNSPECIFIED UNSPECIFIED Moenig, Stefan P. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-323317
DOI:	10.1111/nyas.14454
Journal or Publication Title:	Ann. N.Y. Acad. Sci.
Publisher:	WILEY
Place of Publication:	HOBOKEN
ISSN:	1749-6632
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language LYMPH-NODE DISSECTION; QUALITY-OF-LIFE; GASTRIC-CANCER; GASTROESOPHAGEAL JUNCTION; ADENOCARCINOMA; SURVIVAL; RESECTION; CARCINOMA; CHEMOTHERAPY; GASTRECTOMY Multiple languages Multidisciplinary Sciences Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/32331