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Aktueller Stand operativer Therapiekonzepte unter curativer Zielsetzung beim Ösophaguscarcinom

  • A. H. Hölscher
  • E. Bollschweiler
  • J. D. Roder
  • J. R. Siewert
Conference paper
Part of the Langenbecks Archiv für Chirurgie Gegründet 1860 Kongreßorgan der Deutschen Gesellschaft für Chirurgie book series (DTGESCHIR, volume 1990)

Zusammenfassung

Ziel der chirurgischen Therapie des Ösophaguscarcinoms unter curativer Zielsetzung ist die makroskopisch und mikroskopisch komplette Tumorentfernung (RO-Resektion), da die Prognose nur dadurch günstig zu beeinflussen ist. Die transthorakale en-bloc-Ösophagektomie stellt beim Plattenepithelcarcinom das Verfahren der Wahl dar. Wandüberschreitende Tumoren (T3/T4) oberhalb der Tracheal-bifurkation sowie T4 Tumoren unterhalb der Bifurkation sollten im Rahmen eines multimodalen Therapiekonzeptes durch (Radio)chemotherapie vorbehandelt werden.

Schlüsselwörter

Ösophaguscarcinom chirurgische Therapie multimodales Therapiekonzept 

Current Surgical Approaches to Curating Esophageal Cancer

Summary

Curative surgical treatment of esophageal cancer involves the complete macroscopic and microscopic removal of the tumor (RO-resection), since this is the only means by which the prognosis can be improved. The treatment of choice for squamous cell cancer is transthoracic en bloc esophagectomy. Tumors penetrating the esophageal wall (T3/T4) above the tracheal bifurcation and T4 tumors below the bifurcation should be treated preoperatively by (radio)chemotherapy within the framework of a multimodal therapeutic approach.

Key words

Esophageal Cancer Surgical Treatment Multimodal Therapeutic Approach 

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Copyright information

© Springer-Verlag Berlin Heidelberg 1990

Authors and Affiliations

  • A. H. Hölscher
    • 1
  • E. Bollschweiler
    • 1
  • J. D. Roder
    • 1
  • J. R. Siewert
    • 1
  1. 1.Chirurgische Klinik und Poliklinik der TU MünchenMünchen 80Deutschland

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