Salvage esophagectomy.

Abstract:

:Patients with locally advanced esophageal cancer are treated with definitive chemoradiation (dCXRT) for a number of reasons. Some patients are never referred to a surgeon for a con-versation about surgery, others decline surgery, and some are not candidates for surgery due to a sag in performance status secondary to therapy. Regardless of method of arrival at dCXRT, the risk of local/regional recurrence during follow-up is significant. Many of these patients are faced with limited options for therapy once dCXRT has failed. Salvage esoph-agectomy has historically been considered a morbid procedure and poor choice for lo-cal/regional recurrence. This chapter reviews the recent literature arguing the relevance of salvage resection. We recommend that any patient suffering from persistent or recurrent lo-cal/regional only disease after dCXRT should be referred to an experienced esophageal center to consider surgical options.

journal_name

J Thorac Dis

authors

Hofstetter WL

doi

10.3978/j.issn.2072-1439.2014.03.29

subject

Has Abstract

pub_date

2014-05-01 00:00:00

pages

S341-9

eissn

2072-1439

issn

2077-6624

pii

jtd-06-S3-S341

journal_volume

6 Suppl 3

pub_type

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