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Titolo:
Does the interponat affect outcome after esophagectomy for cancer?
Autore:
Urschel, JD;
Indirizzi:
McMaster Univ, Dept Surg, Hamilton, ON L8S 4L8, Canada McMaster Univ Hamilton ON Canada L8S 4L8 rg, Hamilton, ON L8S 4L8, Canada
Titolo Testata:
DISEASES OF THE ESOPHAGUS
fascicolo: 2, volume: 14, anno: 2001,
pagine: 124 - 130
SICI:
1120-8694(2001)14:2<124:DTIAOA>2.0.ZU;2-U
Fonte:
ISI
Lingua:
ENG
Soggetto:
EN-BLOC ESOPHAGECTOMY; QUALITY-OF-LIFE; COLON INTERPOSITION; GASTRIC CARDIA; RESECTION; ESOPHAGUS; RECONSTRUCTION; CARCINOMA; COMPLICATIONS; REPLACEMENT;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
38
Recensione:
Indirizzi per estratti:
Indirizzo: Urschel, JD St Josephs Hosp, 50 Charlton Ave E, Hamilton, ON L8N 4A6, Canada St Josephs Hosp 50 Charlton Ave E Hamilton ON Canada L8N 4A6 a
Citazione:
J.D. Urschel, "Does the interponat affect outcome after esophagectomy for cancer?", DIS ESOPHAG, 14(2), 2001, pp. 124-130

Abstract

Clinical decision-making in esophageal cancer surgery is a process of balancing the risks of treatment against potential benefits, such as survival and quality of life. Various options are available for esophageal reconstruction. While these reconstructive options do not directly have an impact on cancer survival, they do affect operative morbidity and long-term quality of life. The affect of various interponats (reconstructive conduits) and routes of reconstruction on operative morbidity and foregut function is reviewed. Gastric interponats are preferred for esophageal reconstruction becauseof their reliable vascularity and the relative simplicity of the reconstructive operation. Colon interponats supposedly provide better long-term function as an esophageal substitute (unproven), but at the cost of increased operative complexity and morbidity. Colon interposition is therefore reserved for situations in which gastric transposition is not feasible. Both posterior and anterior mediastinal routes of gastric interponat reconstruction are acceptable (meta-analysis of randomized controlled trials). Posterior mediastinal reconstruction is usually preferred when a complete (R0) resection has been accomplished. Anterior mediastinal reconstruction may prevent secondary dysphagia after incomplete (R1, R2) resections.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 10/07/20 alle ore 08:46:56