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Critères de qualité de la chirurgie des cancers de l’œsophage et de la jonction œsogastrique

Quality criteria for esophageal and gastroesophageal junction cancer surgery

  • Mise au point / Update
  • Published:
Oncologie

Abstract

Even though the primacy of surgical resection has been challenged by the era of definitive radiochemotherapy for locally advanced squamous cell carcinomas of the oesophagus, it has reestablished itself as the treatment of choice for the majority of operable patients as it allows for enhanced loco-regional disease control and a prolonged survival. To obtain such results, surgical managementmust achieve certain quality criteria, not only on the operative front but also at the levels of organisation and patient peri-operative care. This document provides an update regarding the current quality criteria for the oncological resection of cancers of the oesophagus and oesophago-gastric junction.

Résumé

Bien que la chirurgie ait été challengée pendant un temps par la radiochimiothérapie exclusive dans les carcinomes épidermoïdes localement avancés de l’oesophage, elle redevient pour la majorité des patients opérables le traitement de référence, car permettant un meilleur contrôle locorégional de la maladie et des survies prolongées. Pour obtenir ces résultats, la chirurgie doit répondre à des critères de qualité tant sur le plan chirurgical qu’organisationnel et périopératoire. Cette mise au point fait état des critères de qualité de la chirurgie des cancers de l’œsophage (CO) et de la jonction œsogastrique.

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Authors and Affiliations

  1. Service de chirurgie digestive et générale, hôpital C.-Huriez, centre hospitalier régional universitaire, place de Verdun, F-59037, Lille cedex, France

    C. Mariette, W. B. Robb & G. Piessen

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  1. C. Mariette
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  2. W. B. Robb
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  3. G. Piessen
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Correspondence to C. Mariette.

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Mariette, C., Robb, W.B. & Piessen, G. Critères de qualité de la chirurgie des cancers de l’œsophage et de la jonction œsogastrique. Oncologie 15, 133–138 (2013). https://doi.org/10.1007/s10269-013-2264-z

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  • DOI: https://doi.org/10.1007/s10269-013-2264-z

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