Ivor Lewis procedure for epidermoid carcinoma of the esophagus. A series of 264 patients

Preoperative (neoadjuvant) chemoradiotherapy in oesophageal cancer

“…The 5-year survival rate of patients who have undergone curative resection remains disappointingly low, averaging 20 per cent in most series but varying from 10 to 35 per cent 6,12,13,19,21 . Prognostic factors include the degree of oesophageal wall penetration (which correlates with the risk of nodal involvement) 22 , the number of lymph nodes involved 23±25 and the site of the primary tumour; lower oesophageal tumours carry a worse prognosis than mid or upper oesophageal tumours 26,27 .…”

“…Despite improvements in operative surgery, intensive care medicine and supportive care, no signi®cant increase in overall survival has been achieved. Both distant metastases and locoregional recurrence occur equally commonly 13,21,25,28 . Extended lymphadenectomy may improve locoregional control but does not seem to affect overall survival 29 .…”

Comparison of Minimally Invasive Esophagectomy With Transthoracic and Transhiatal Esophagectomy

“…1 Although the best approach to esophagectomy remains controversial, the 2 most frequently performed operations are transthoracic (TT) and blunt transhiatal esophagectomy (THE). [2][3] The transthoracic approach allows the surgeon to perform a wide mediastinal lymphadenectomyandprovideadequatehemostasis that cannot be ensured by THE. However, THE avoids a thoracotomy and therefore reduces associated pulmonary complications.…”

Surgical repair of redundant intra-thoracic stomach after Ivor Lewis esophagectomy

“…Numerous authors have reported mortality and complication rates. [3][4][5][6][7][8][9][10][11][12][13][14][15][16] Recently, we identified two patients' status post-Ivor Lewis esophagectomy, each with a similar and unusual symptomatic complication -markedly redundant intrathoracic stomach. The description of this complication and its surgical repair is described.…”