Surgical treatment of esophageal cancer: benefit and limitation of endoscopic surgery

Yuko Kitagawa, Hiroya Takeuchi, Yoshirou Saikawa, Masaki Kitajima

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)

Abstract

Since the 1990s, the minimalization of surgical invasiveness to reduce postoperative complications has become a major topic in the field of gastrointestinal surgery, including esophageal surgery. Initial challenges in the field of esophageal surgery were reported in 1993. Although the initial reports of thoracoscopic esophagectomy failed to show the lower incidence of postoperative complication compared with conventional open surgery, recent reports that cleared the initial learning phase are indicating relatively lower morbidity in endoscopic surgery. The magnified view by endoscope enables us to perform precise dissection of lymph nodes and to reduce total blood loss. Thus, endoscopic esophageal surgery has been introduced as a novel surgical approach for relatively early stage esophageal cancer. Although recent reports suggest several clinical benefits of this procedure compared with conventional open surgery, a large-scale randomized controlled trial to prove these potential benefits is essential.

Original languageEnglish
Pages (from-to)S158-S161
JournalAmerican Journal of Surgery
Volume194
Issue number4 SUPPL.
DOIs
Publication statusPublished - 2007 Oct 1

Keywords

  • Esophageal cancer
  • Laparoscopic surgery
  • Minimally invasive surgery
  • Sentinel lymph node
  • Thoracoscopic surgery

ASJC Scopus subject areas

  • Surgery

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