Salvage Esophagectomy in the Management of Recurrent or Persistent Esophageal Carcinoma

Salvage Esophagectomy in the Management of Recurrent or Persistent Esophageal Carcinoma
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DOI:
10.1016/j.thorsurg.2013.08.001
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发表时间:
2013-11-01
影响因子:
2.1
通讯作者:
Swisher, Stephen G.
Swisher, Stephen G.
中科院分区:
医学3区
文献类型:
--
作者:
Marks, Jenifer;Rice, David C.;Swisher, Stephen G.

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挽救性食管切除术与心理转移的视频伴随这篇文章挽救性食管切除术是一种可行的治疗选择,在复发或持续性食管癌的管理,并可以在可接受的发病率和死亡率在一组选定的患者。患者的选择应包括完整的再分期评估、心肺检查和功能状态评估。大多数持续性或复发性食管癌患者不适合进行挽救性切除术。经过精心挑选的患者接受挽救性切除术可以有类似的结果,那些接受计划食管切除术后,明确的放化疗。
Video of salvage esophagectomy with mental transfer accompanies this article Salvage esophagectomy is a viable treatment option in the management of recurrent or persistent esophageal cancer and can be performed with acceptable morbidity and mortality in a select group of patients. Patient selection should include a complete restaging evaluation, cardiopulmonary testing, and an assessment of functional status. A majority of patients with persistent or recurrent esophageal cancer are not candidates for salvage resection. Carefully selected patients undergoing a salvage resection can have outcomes similar to those undergoing a planned esophagectomy after definitive chemoradiotherapy.