Management of Oesophageal Carcinoma de Raymond L. Hurt

Management of Oesophageal Carcinoma

Raymond L. Hurt

en Limba Engleză Paperback – 19 mar 2012

Both the investigation and treatment of cancer of the oesophagus are comprehensively presented in Management of Oesophageal Carcinoma. This information is otherwise not easily available in one source. The chapters are written by experts in the fields of anatomy, cancer research, radiology, and thoracic surgery and give up-to-date information on this difficult disease. All aspects are covered: anatomy, epidemiology, endoscopic and radiologic diagnosis, pathology, surgical treatment, radiotherapy, palliative and laser therapy, and the management of complications. Surgeons will be especially interested in the discussion of the recent technique of oesophagectomy without formal thoracotomy, and the use of stapling devices. This complete reference is ideal for all clinics and medical centers specializing in thoracic surgery or treatment of oesophageal carcinoma.

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1 Historical Survey of Surgical Treatment.- Nineteenth Century.- Early Twentieth Century.- United Kingdom.- The Modern Era.- References.- 2 Surgical Anatomy.- Embryology.- Adult Anatomy.- References.- 3 Epidemiology and Predisposing Factors.- Worldwide Occurrence.- Aetiology.- Conclusions.- References.- 4 Endoscopic Diagnosis and Intubation.- Technique.- Preoperative Preparation.- Normal Endoscopic Appearances.- Pathological Appearances.- Therapeutic Procedures.- 5 Radiological Diagnosis and Assessment.- Diagnosis.- Predisposing Conditions.- Staging of Oesophageal Carcinoma.- Gastro-oesophageal Junction Tumours.- Ultrasound.- Magnetic Resonance Imaging (MRI).- Postoperative Assessment and Tumour Recurrence.- Conclusions.- References.- 6 Pathology.- Pathological Diagnosis.- Natural History.- Pathogenesis.- Conclusions.- References.- 7 Surgical Resection for Postcricoid Carcinoma.- Aetiology of Postcricoid Carcinoma.- Surgical Pathology.- Problems in Classification.- Rationale for Surgical Excision.- Excision of Primary Tumour.- Regional Lymph Nodes.- Techniques for Reconstruction of Hypopharynx.- Palliation.- Conclusions.- References.- 8 Surgical Resection for Intrathoracic Carcinoma.- Preoperative Assessment.- Preoperative Treatment.- Types of Operation (with Use of Stomach).- Use of other Organ Substitutes.- Postoperative Management.- Postoperative Complications.- Late Complications.- Results.- References.- 9 Transhiatal Oesophagectomy without Formal Thoracotomy.- Historical.- Indications.- Preoperative Preparation.- Operative Approach.- Postoperative Care.- Results.- Conclusions.- References.- 10 Resection Using Stapling Instruments.- Historical Aspects.- Technique.- Results.- Conclusions.- References.- 11 Palliative Therapy.- Palliative Resection.- Surgical Bypass Procedures.- Intubation.- Laser Therapy.- Radiotherapy.- Chemotherapy.- Dilatation.- Gastrostomy and Oesophagostomy.- Conclusions.- References.- 12 Radiotherapy and Cytotoxic Therapy.- Historical.- Radical Radiotherapy.- Recent Developments in Radiotherapy.- Chemotherapy.- Combined Modality Treatment.- Palliative Treatment.- Conclusions.- References.- 13 Brachytherapy (Intracavitary Irradiation).- Technique.- Insertion.- Dose.- Patient Selection.- Results.- References.- 14 Laser Therapy.- Background.- Lasers.- Interaction between Laser Light and Living Tissue.- Indications and Aims.- Equipment.- Endoscopic Technique.- Results.- Complications.- Comparisons with Other Techniques.- Combination Therapy.- Early Oesophageal Cancer.- Laser Hyperthermia.- Photodynamic Therapy (PDT).- Summary.- References.- 15 Management of Complications of Intrathoracic Resection.- The Influence of Bacterial Flora on Postoperative Morbidity.- Pulmonary Complications.- Anastomotic Leakage.- Clinical Presentation and Management of Anastomotic Leakage.- Other Complications Related to Infection.- Chylothorax Following Oesophagectomy.- Cardiological Complications.- Other Complications.- Summary.- References.