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Effect of neoadjuvant chemotherapy on R0 resection rate of esophageal carcinoma

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Author:
No author available
Journal Title:
CANCER RESEARCH AND CLINIC
Issue:
5
DOI:
10.3760/cma.j.issn.1006-9801.2010.05.003
Key Word:
食管肿瘤;新辅助化疗;R0切除率;Esophageal neoplasms;Neoadjuvant chemotherapy;R0 resection rate

Abstract: Objective To investigate the possibility of increasing R0 resection rate in esophageal carcinoma after neoadjuvant chemotherapy. Methods 30 patients underwent operation after neoadjuvant chemotherapy mainly by paclitaxel combined with cis-platinum, including 18 squamous carcinoma cases. 10 adenocarcinoma cases and 2 small cell carcinoma cases.Results In these 30 patients,the overall effective rate of neoadjuvant chemotherapy is 56.7%(17/30)(CR+PR),R0 resection rate is 100%,and the incidence rate of anastomotic leakage is 3.3%(1/30),without perioperative death.Conclusion The neoadjuvant chemotherapv is significant in improving the R0 resection rate in esophageal carcinoma,and the impact of long-term survival after surgery needs further follow-up.

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