Transhiatal vs extended transthoracic resection in oesophageal carcinoma: patients' utilities and treatment preferences

Extended transthoracic resection compared with limited transhiatal resection for adenocarcinoma of the esophagus.

BACKGROUND Controversy exists about the best surgical treatment for esophageal carcinoma. METHODS We randomly assigned 220 patients with adenocarcinoma of the mid-to-distal esophagus or adenocarcinoma of the gastric cardia involving the distal esophagus either to transhiatal esophagectomy or to transthoracic esophagectomy with extended en bloc lymphadenectomy. Principal end points were overal...

Extended Transthoracic Resection Compared with Limited Transhiatal Resection for Adenocarcinoma of the Esophagus

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Oesophageal resection in patients with oesophageal speech.

some patients was lateralised (fig 1) or could be seen as a narrow cleft. A tumour in the remaining tissue in a partially empty sella could also be defined, allowing us to identify four tumours in partially empty sellae and in one patient (case 12) to remove the tumour selectively, leaving the normal pituitary tissue and function undisturbed. Other features of value that were clearly visualised...

Transthoracic versus transhiatal resection for esophageal adenocarcinoma of the lower esophagus: A value-based comparison.

BACKGROUND AND OBJECTIVE Our objective was to compare clinical outcomes, costs, and resource use based on operative approach, transthoracic (TT) or transhiatal (TH), for resection of esophageal cancer. METHODS This cohort analysis utilized the Surveillance, Epidemiology, and End Results--Medicare linked data from 2002 to 2009. Only adenocarcinomas of the lower esophagus were examined to minim...

Utilities , Preferences and Choice