XXXX : the choice of surgical treatment.

@entity1 @entity834 @entity5 @entity2910 @entity420
The ideal surgical treatment for @entity420 is still controversial. Out of 168 consecutive @entity1 resected in a 10-year period, 98 underwent esophagogastric resection (EGR) and 70 @entity2910 ( @entity2910 ). Early and long-term results were compared in order to define specific indications for both surgical procedures. Abdominal nodes were metastatic in 62% of the cases; mediastinal nodes were metastatic in 20.3% of 138 thoracotomized @entity1 . Neoplastic permeation of the section margin occurred in 4.7% of the @entity1 . No positive section margins were found in the cases with 10 cm or more of uninvolved esophagus resected. The superiority of the thoracoabdominal approach was therefore evident in terms of oncologic radicality. @entity834 occurred in 13.3% of EGR and in 7.1% of @entity2910 @entity1 . No correlation between the stage of the @entity5 or the neoplastic permeation of the section margin and the incidence of leak was found. Operative mortality was 7.1% after EGR and 10% after @entity2910 , which may suggest that EGR is the procedure of choice in poor-risk and elderly @entity1 . Loco-regional or systemic neoplastic recurrence was responsible for long-term mortality in 70% of the cases. Anastomotic recurrence was found in 12.2% of EGR @entity1 and in 1.4% of @entity2910 @entity1 . Overall five-year survival was 19.1%. Mean survival was 29.5 months, 30 after EGR and 27 after @entity2910 (p = NS).(ABSTRACT TRUNCATED AT 250 WORDS)
