Surgical approach for esophageal cancer.
10.3760/cma.j.cn441530-20221204-00504
- Author:
Ying Jian WANG
1
;
Wei GUO
1
Author Information
1. Department of Thoracic Surgery, Daping Hospital, Army Medical University, Chongqing 400042, China.
- Publication Type:Journal Article
- MeSH:
Humans;
Prognosis;
Lymph Node Excision/methods*;
Lymph Nodes/pathology*;
Esophageal Neoplasms/pathology*;
Esophagectomy/methods*
- From:
Chinese Journal of Gastrointestinal Surgery
2023;26(4):325-329
- CountryChina
- Language:Chinese
-
Abstract:
Due to the anatomical specificity of esophagus, esophagectomy can be carried out using different approaches, such as left transthoracic, right transthoracic and transhiatal approaches. Each surgical approach is associated with a different prognosis due to the complex anatomy. The left transthoracic approach is no longer the primary choice due to its limitations in providing adequate exposure, lymph node dissection, and resection. The right transthoracic approach is capable of achieving a larger number of dissected lymph nodes and is currently considered the preferred procedure for radical resection. Although the transhiatal approach is less invasive, it could be challenging to perform in a limited operating space and has not been widely adopted in clinical practice. Minimally invasive esophagectomy offers a wider range of surgical options for treating esophageal cancer. This paper reviews different approaches to esophagectomy.
