ABSTRACT
520 new cases of esophageal carcinoma are diagnosed in Switzerland per year. 80% of these patients eventually die from their disease despite recent advances in surgical technique and systemic treatment. The first successful thoracic esophageal resection for carcinoma was performed in 1913, but only the introduction of modern anesthesia with oral intubation and positive pressure ventilation made thoracic operations routinely feasible. Esophageal resection can be performed open or minimally invasive. The minimally invasive esophageal resection has been proven to be safe with comparable mortality to open resection. Also, there is no difference in terms of radicality of the operation. Overall survival seems to be equal in published series, but results of prospective trials are still pending.
En Suisse chaque année sont diagnostiqués 520 nouveaux cas de cancer de l'oesophage. 80% des patients décèdent malgré les avancées notables des traitements chirurgicaux et médicaux dans ce domaine. La résection chirurgicale est le traitement de choix pour les cancers éligibles. En 1913 a eu lieu avec succès la première résection transthoracique d'un cancer de l'oesophage, mais ces interventions transthoraciques n'ont pu être réalisées dans la pratique courante qu'à compter du développement des techniques anesthésiologiques modernes incluant l'intubation orale et la ventilation par pression positive. L'intervention peut de nos jours être réalisée à ciel ouvert ou par technique mini-invasive. Cette dernière est une technique sûre, ayant un taux de mortalité comparable aux techniques à ciel ouvert dans les centres spécialisés. Aussi, il n'existe aucune différence quant à la radicalité de l'opération. Les résultats oncologiques sont comparables dans les séries publiées, toutefois les résultats d'études standardisées sont encore à venir.
Subject(s)
Adenocarcinoma/history , Adenocarcinoma/surgery , Carcinoma, Squamous Cell/history , Carcinoma, Squamous Cell/surgery , Esophageal Neoplasms/history , Esophageal Neoplasms/surgery , Esophagectomy/history , Esophagectomy/methods , Esophagoscopy/history , Esophagoscopy/methods , Esophagostomy/history , Esophagostomy/methods , Minimally Invasive Surgical Procedures/history , Minimally Invasive Surgical Procedures/methods , Adenocarcinoma/pathology , Carcinoma, Squamous Cell/pathology , Esophageal Neoplasms/pathology , History, 17th Century , History, 18th Century , History, 19th Century , History, 20th Century , History, 21st Century , History, Ancient , History, Medieval , Humans , Neoplasm StagingSubject(s)
Esophageal Diseases/surgery , Esophagectomy , Esophagoplasty , Esophagostomy , Esophageal Diseases/diagnosis , Esophagectomy/history , Esophagectomy/trends , Esophagoplasty/history , Esophagoplasty/trends , Esophagoscopy , Esophagostomy/history , Esophagostomy/trends , History, 17th Century , History, 20th Century , History, Ancient , Humans , Laparoscopy/methods , Laparoscopy/trends , Thoracic Surgical Procedures/methods , Thoracic Surgical Procedures/trendsABSTRACT
Although carcinoma of the thoracic esophagus was well known by the early nineteenth century, surgical removal of these tumors was stifled for several reasons. The pioneer work of Drs. Adams and Phemister was a major step in the development of an esophagogastrectomy that is still performed.
