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KMID : 0604620060130010010
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Dongguk Journal of Medicine
2006 Volume.13 No. 1 p.10 ~ p.18
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Surgical Treatment of Thoracic Esophageal Cancer
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Park Sung-Dong
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Abstract
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Surgery remains the standard treatment for resectable thoracic esophageal cancer but it is justified only when acceptably low morbidity rates can be achieved even for advanced disease. The appropriate extent of resection to achieve the best outcome is the most controversial aspect of treating esophageal cancer and the optimal extent of lymphadenectomy also remains controversial. Until data from prospective randomized trials showing a clear benefit using a particular approach are available, surgeons should perform their better judgement in individualizing and selecting the most appropriate surgical approach to provide the best chance of cure or lasting palliation for this disease that challanges both patient and surgeon. Further studies are necessary to examine the utility and efficacy of each approach in treating thoracic esophageal cancer either alone or in combination with other modalities.
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KEYWORD
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thoracic esophageal cancer, surgical treatment
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