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What Should Be the Gold Standard for the Surgical Component in the Treatment of Locally Advanced Esophageal Cancer: Transthoracic Versus Transhiatal Esophagectomy

Sunday, November 16, 2014

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Kutup, Asad; Nentwich, Michael F.; Bollschweiler, Elfriede; Bogoevski, Dean; Izbicki, Jakob R.; Hölscher, Arnulf H.

This retrospective study evaluated results of transthoracic (TTE) vs transhiatal (THE) esophagectomy in patients with squamous cell cancer and adenocarcinoma from two high volume centers. Prospensity score matching was used.  TTE yielded a higher R0 resection rate and higher numbers of nodes dissection.  TTE was associated with improved survival for T3 tumors and for patients with node-positive disease.

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