Background

Esophagectomy is a major oncological procedure which still poses a high burden on patients as well as medical resources. Several novel principles have evolved in the last decade in multidisciplinary treatment of esophageal cancer.

Key words: esophageal cancer, esophagectomy

Methods and Results

Our retrospective analyses last ten years in a single institution. 166 esophagectomies were performed in 124 men and 42 women (average age 63.3, range 37-83, median age 67).

Ivor Lewis esophagectomy was the most common procedure performed (114 cases, 3 of which done with VATS), followed by transhiatal (29 cases), McKeown (21 cases, 4 VATS) and 2 fully minimally invasive esophagectomies (MIE). Comparing periods from 2006-2010 and 2011-2015 a marked reduction in perioperative mortality and morbidity was observed.

A much higher proportion of operated patients recieved neoadjuvant chemo/radiotherapy in the latter half of the observed decade.

Conclusion

Improvements in surgical outcomes are discussed in light of new insights into preoperative assessment and nutritional support, anesthesia, surgical techniques and intensive care.

Matevž Srpčič, MD
Clinical Department of Thoracic Surgery
UMC Ljubljana, Slovenia

Corresponding Authors’ email: matevz.srpcic@kclj.si

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