Published in:
Open Access
16-09-2022 | Esophageal Cancer | ASO Author Reflections
ASO Author Reflections: Similar Long-Term Survival After Transhiatal Compared to Transthoracic Esophagectomy
Authors:
Anna Junttila, MD, PhD, Olli Helminen, MD, PhD, Joonas H. Kauppila, MD, PhD, the FINEGO Group
Published in:
Annals of Surgical Oncology
|
Issue 13/2022
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Excerpt
Transhiatal esophagectomy (THE) and transthoracic esophagectomy (TTE) are valid surgical procedures for esophageal cancer. TTE allows for more extensive lymphadenectomy via thoracic dissection, while THE has been preferred in frail patients, as some studies have shown higher morbidity and short-term mortality after TTE. Both of these procedures can also be performed with minimally invasive techniques. However, available evidence of long-term oncological outcomes after THE compared with TTE
1,2 is contradictory, and there is also a lack of population-based studies. So far, existing studies do not show superiority of either approach in treatment of esophageal cancer, and the largest published meta-analysis of 52 studies found no difference in 5-year overall survival.
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