[Esophageal carcinoma: novelties and challenges in surgery]

Abstract

Surgical resection of esophageal carcinoma is one of the mainstays of curative treatment for these cancers. During the last decade, numerous improvements in surgical approaches and perioperative management of these patients have resulted in a decrease in postoperative morbidity and mortality. Thus, centralization of patients with esophagogastric adenocarcinoma in high volume center, development of minimally invasive surgery and improvements in surgical imaging have led to reduce mortality rate, major pulmonary complication rate and postoperative chylothorax rate. Optimization of postoperative management with enhanced recovery programs has meanwhile reduced the rate of major postoperative complication and the hospital length of stay. The objective of this review is to give an overview of novelties and challenges regarding surgical management of patients with esophageal carcinoma.

Keywords: Adénocarcinome œsophagien; Centralisation; Centralization; ERAS program; Esophageal adenocarcinoma; Indocyanin green; Minimally invasive esophagectomy; Réhabilitation améliorée; Vert d’indocyanine; Œsophagectomie mini-invasive.