Esophageal Cancer Surgery
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Dr. Kshivets is the champion!
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Yes, his surgery technique is the best.
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Le chirurgien de virtuose!
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The reason of better statistics results in upper/3 are probably due to the reason that in lower part is possible an asyntomatic growth of cancer, delayng diagnosys...
Cervical Lymphadenectomy resection is effectively useful for prevent recidives?
PaoloTorrielli 1 year ago 23
No, it is not connected with semiology. Forecast depends on different cancer dynamics & aggression in upper/lower third of esophagus. Similar is observed for colon cancer: prognosis after right hemicolonectomies is significantly better than after left-sided hemicolonectomies.
Kshivets002 1 year ago 171
Regarding lymphadenectomy it is all quite clear. Adequate lymph node dissection is a basic postulate of surgical oncology. By the way it is Achilles' heel of thoracoscopic & laparoscopic surgery (absence of palpation, principle infringement of en-block surgery, intraoperational division tumor and lymph nodes into pieces, etc.), that provokes cancer generalization.
Kshivets002 1 year ago 164
Radical procedures for esophageal cancer are extremely difficult and, as I know, only you are capable of performing complete esophagogastrectomies for cancer in upper/3 of esophagus successfully. Probably you have remote results of these operations. Usually such patients quickly perish in spite of chemoradiotherapy. Did you compare 5-year survival of esophageal cancer patients in upper/3 and lower/3 of esophagus?
mayoclinicsjohn 1 year ago 217
Excellent question! 5-year survival of esophageal cancer patients in upper/3 of esophagus (54%) is better significantly in comparison with lower/3 (43%) after surgery. Thus high technical complexity of these operations in upper/3 of esophagus is completely justified by the best 5-year survival of these patients after complete (R0) esophagogastrectomies.
Kshivets002 1 year ago 270