One hundred years of evolution of esophageal surgical approach and clinical significance

( views:275, downloads:0 )
CHEN Ke-neng(Key Laboratory of Carcinogenesis and Translational Research(Ministry of Education), Beijing Cancer Hospital, Peking University, Beijing 100142, China)
Journal Title:
Chinese Journal of Gastrointestinal Surgery
Volume 15, Issue 09, 2012
Key Word:
Esophageal neoplasms ; Surgery operation ; Surgery enter ; Clinical efficacy

Abstract: Esophageal surgery has developed for almost 100 years.Esophagectomy can be performed via left,right thoracotomy,even via hiatus without thoracotomy due to its unique anatomic characteristics.Left thoracotomy was the initial approach in the world,and has still been performed by Chinese colleagues,but Ivor Lewis (right side thoracotony) procedure is popular in western countries.Currently,esophageetomy by right thoracotomy has been aecepted worldwidely since its radical disseetion for tumor.Therefore,video-assisted thoracoseopic esophagetomy based on right thoracotomy will be the mainstream surgery for esophageal cancer in the future since its minimal invason and tumor dissection.

  • [1]Torek F.The first successful resection of the thoracic portion of the esophagus for carcinoma.Surg Gynecol Obstet,1913,16:614-617.
  • [2]Adams WE,Phemister DB.Carcinoma of the lower thoracic esophagus:report of a successful resection and esophagogastrostomy.J Thorac Surg,1938,7:621-632.
  • [3]Wu YK,Loucks HH.Surgical treatment of carcinoma of the esophagus.Chin Med J,1941,60:1-33.
  • [4]Garlock JH.Causes of mortality following radical resection of the esophagus for carcinoma.J Thorac Surg,1944,13:415-423.
  • [5]Sweet RH.Transthoracic resection of the esophagus and stomach for carcinoma:Analysis of the postoperative complications,causes of death,and late results of operation.Ann Surg,1945,121(3):272-284.
  • [6]Lewis I.The surgical treatment of carcinoma of the esophagus with special reference to a new operation for growths of the middle third.Br J Surg,1946,34:18-31.
  • [7]Kakegawa T.Study on rational surgical procedures for cancer in the thoracic esophagus based on esophageal lymphatic flow.Annual Report of Cancer Research.Ministry of Health and Welfare,1994:602-604.
  • [8]Turner G.Excision of the thoraeic oesophagus for carinoma:with construction of an extra-thoracic gullet.Lancet,1933,2:1315-1316.
  • [9]Orringer MB,Sloan H.Esophagectomy without thoracotomy.J Thorac Cardiovasc Surg,1978,76(5):643-654.
  • [10]Orringer MB,Marshall B,Chang AC,et al.Two thousand transhiatal esophagectomies:changing trends,lessons learned.Ann Surg,2007,246(3):363-374.
  • [11]陈克能,马少华,梁震,等.经膈肌裂孔食管切除术治疗食管癌及食管胃交界癌的远期疗效.中华胃肠外科杂志,2010,13(9):649-651.
WanfangData CO.,Ltd All Rights Reserved
About WanfangData | Contact US
Healthcare Department, Fuxing Road NO.15, Haidian District Beijing, 100038 P.R.China
Tel:+86-010-58882616 Fax:+86-010-58882615