Journal of Gastrointestinal Surgery

, Volume 14, Supplement 1, pp 101–107

Esophagectomy Without Mortality: What Can Surgeons Do?

DeMeester Festschrift

DOI: 10.1007/s11605-009-1028-y

Cite this article as:
Law, S. J Gastrointest Surg (2010) 14(Suppl 1): 101. doi:10.1007/s11605-009-1028-y

Abstract

Introduction

Surgical resection remains the mainstay treatment for patients with localized esophageal cancer. It is, however, a complex procedure. Mortality rate used to be high, but in recent years, death rate has been reduced to below 5% in specialized centers.

Methods

Outcome of esophagectomy can be improved by paying attention to (1) appropriate patient section, (2) choice of surgical techniques and their execution, and (3) optimizing perioperative care. A volume–outcome relationship is also evident. Surgeons can perform esophagectomy without mortality, but a multi-disciplinary team management is essential to achieve this goal.

Keywords

EsophagectomySurgical resectionVolume–outcome relationship

Copyright information

© The Society for Surgery of the Alimentary Tract 2009

Authors and Affiliations

  1. 1.Department of Surgery, Li Ka Shing Faculty of MedicineThe University of Hong Kong, Queen Mary HospitalHong KongChina