The role of surgical staging in esophageal carcinoma

Stefano Rausei, Alberto Biondi, Ferdinando Carlo Maria Cananzi, Carmela La Greca, Roberto Persiani

Research output: Contribution to journalArticlepeer-review

Abstract

Given the overfill poor prognosis of patients with esophageal carcinoma and considering the new therapeutic options, surgeons should accurately stage patients preoperatively to appropriately tailor their treatment. CT, MRI, PET and EUS are still inaccurate in evaluating local surgical resectability and in detecting abdominal and thoracic lymph node metastases. Minimally invasive surgical staging is a promising adjunct to esophageal cancer staging. The thoracoscopic and laparoscopic staging provide more accurate information for evaluating local invasion, lymph node and distant metastasis. The greater accuracy afforded by minimally invasive staging is essential for patients who should undergo radical surgical or multimodal treatment. According to data reported by many authors, it seems most useful to combine nonoperative staging procedures as CT/MRI and EUS with minimally invasive staging techniques.

Original languageEnglish
Pages (from-to)47-52
Number of pages6
JournalRays - International Journal of Radiological Sciences
Volume31
Issue number1
Publication statusPublished - Jan 2006

Keywords

  • Esophageal cancer
  • Laparoscopy
  • Minimally Invasive Surgical Staging
  • Thoracoscopy

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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