Transthoracic Resection of Tumors of the Stomach and Esophagus

Churchill, Edward D.; Sweet, Richard H.

doi:10.1097/00000658-194206000-00004

Cited by 108 publications

(11 citation statements)

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“…It has been claimed that the rational way to remove a carcinoma of the mid-esophagus with involved left gastric glands is by a monobloc dissection through the left pleura and diaphragm. As Churchill and Sweet (1942) have pointed out, however, it will probably be found that few if any such cases are really operable. What is required in cases without intra-abdominal glandular involvement is removal of all the esophagus down to the cardia.…”

Section: Right or Left Pleural Approach?mentioning

confidence: 98%

The surgical treatment of carcinoma of the oesophagus with special reference to a new operation for growths of the middle third

Lewis

1946

Journal of British Surgery

523

174

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Section: Right or Left Pleural Approach?mentioning

confidence: 98%

The surgical treatment of carcinoma of the oesophagus with special reference to a new operation for growths of the middle third

Lewis

1946

Journal of British Surgery

523

174

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“…In 1942 and1943 Overholt performed pulmonary resections on 59 patients with tuberculosis, with a mortality rate of 13 per cent. During a ten-year period he33 and his associates have selected 94 patients in whom pulmonary resection was carried out, whereas well over 2000 patients have been treated by thoracoplasty during the same period.…”

Section: Surgery Of the Lungsmentioning

confidence: 99%

Recent Advances in Surgery

Blalock¹

1944

N Engl J Med

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“…The commonest open surgical approaches include transthoracic and transhiatal esophageal resection. The transthoracic esophageal resection includes Ivor Lewis (laparotomy and right thoracotomy), McKeown (right thoracotomy, laparotomy, and neck incision) and left transthoracic esophagectomy [ 6 , 7 ]. We categorized these surgical approaches as left and right transthoracic approaches in our study.…”

Section: Introductionmentioning

confidence: 99%

Right versus left transthoracic approach for lymph node-negative esophageal squamous cell carcinoma

Liu

Long

et al. 2015

J Cardiothorac Surg

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BackgroundTo compare the right and left transthoracic approach on the post-operative survival of patients with lymph node-negative esophageal squamous cell carcinoma.MethodsSix hundred and ninety-five ESCC patients who underwent esophagectomy between 1990 and 2005 were retrospectively enrolled in the present study and were confirmed by histology to be of no lymph node metastasis. Those who had received neoadjuvant chemotherapy or radiotherapy were excluded from the study. Patients were divided into two groups, the left (n = 545) and right (n = 150) transthoracic groups. The follow-up duration ranged from 1 to 20 years with a mean of 7 years. Kaplan–Meier and univariate and multivariate Cox proportional hazards were used for analysis.Results3- and 5-year CSS rates were 62.0 % and 44.0 % in the left group, while the corresponding figures in the right group were 56.0 % and 40.0 %(P < 0.05). The overall survival for the two groups was significantly different (P = 0.045). Survival analyses were stratified by stages, which found that the favorable survival advantage was not present. When the survival curves were stratified by tumor locations, a significant difference was not revealed. Surgical approaches were regarded as one of the prognostic factors in the univariate analysis (P = 0.019). However, this significance could not be confirmed in multivariate Cox regression analysis (P = 0.193).ConclusionsThe left transthoracic approach is superior in some aspects to the right transthoracic approach regarding surgical and oncological outcomes in the treatment of lymph node negative ESCC.

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Transthoracic Resection of Tumors of the Stomach and Esophagus

Cited by 108 publications

References 1 publication

The surgical treatment of carcinoma of the oesophagus with special reference to a new operation for growths of the middle third

The surgical treatment of carcinoma of the oesophagus with special reference to a new operation for growths of the middle third

Recent Advances in Surgery

Right versus left transthoracic approach for lymph node-negative esophageal squamous cell carcinoma

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