期刊
ANNALS OF THORACIC SURGERY
卷 72, 期 1, 页码 306-313出版社
ELSEVIER SCIENCE INC
DOI: 10.1016/S0003-4975(00)02570-4
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There is much controversy about the surgical approach to esophageal carcinoma: should an extensive resection be done to optimize long-term survival or should the extent of the operation be limited to obtain lower perioperative morbidity and mortality rates? We systematically reviewed the English-language literature published during the past decade, with emphasis on the differences between transthoracic and transhiatal resections regarding early morbidity, in-hospital mortality rates, and 3- and 5-year survival. Although transthoracic resections had significantly higher early (pulmonary) morbidity and mortality rates, 5-year survival was approximately 20% after both transthoracic and transhiatal resections. (C) 2001 by The Society of Thoracic Surgeons.
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