[Esophageal carcinoma: novelties and challenges in surgery].

Bull Cancer

AP-HP, hôpital Saint-Antoine, Sorbonne University, Department of Anesthesiology and Intensive Care, GRC 29, DMU DREAM, Paris, France.

Published: May 2023

AI Article Synopsis

  • Surgical resection remains a key treatment for esophageal cancer, with advancements in surgical methods and patient management leading to lower postoperative risks.
  • Improvements from centralizing care in high-volume centers and utilizing minimally invasive techniques have significantly cut down complications and mortality rates.
  • This review aims to highlight the latest developments and ongoing challenges in the surgical treatment of esophageal carcinoma.

Article Abstract

Surgical resection of esophageal carcinoma is one of the mainstays of curative treatment for these cancers. During the last decade, numerous improvements in surgical approaches and perioperative management of these patients have resulted in a decrease in postoperative morbidity and mortality. Thus, centralization of patients with esophagogastric adenocarcinoma in high volume center, development of minimally invasive surgery and improvements in surgical imaging have led to reduce mortality rate, major pulmonary complication rate and postoperative chylothorax rate. Optimization of postoperative management with enhanced recovery programs has meanwhile reduced the rate of major postoperative complication and the hospital length of stay. The objective of this review is to give an overview of novelties and challenges regarding surgical management of patients with esophageal carcinoma.

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Source
http://dx.doi.org/10.1016/j.bulcan.2022.09.012DOI Listing

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