Journal of Surgery

Department for General, Visceral and Transplant Surgery, University Medicine of the Johannes Gutenberg University Mainz, Germany

Publications

• Review   
  Current Surgical Treatment of Esophageal Cancer-Distal Adenocarcinoma, Multidisciplinary Approach, Evolving Minimal-Invasive Approach at High-Volume Centers
  Author(s): Ulrich Klaus Fetzner*, Pinghai Hu, Hesham Ahmed Gamaleldeen Elwan, Ahmed Milad Mohamed El Meghrawi, Christian Maret, Mathias Stefan Silvester Loehnert and Peter Philipp Grimminger
  
  Even in 2020 esophageal cancer stays a severe disease and means a caesura in the life of the affected. Early carcinoma under strict indications and conditions can be safely resected by interventional endoscopy. In locally advanced esophageal cancer of the mid and lower third radical resection stays the gold-standard. The favored approach is the transthoracic esophagectomy with 2-field lymphadenectomy and reconstruction by gastric pullup. In recent years, progress resulted in a notable decrease in morbidity and mortality of these procedures and in an acceptable life quality despite resection and reconstruction. Additionally, multidisciplinary treatment-especially neoadjuvant chemo- and radiochemotherapy-improved long-term survival. Overall it is clear, that the treatment of esophageal cancer in high volume centers is safer and more effective. Challenges.. Read More»
  

  Abstract PDF