Milestones in the History of Esophagectomy: From Torek to Minimally Invasive Approaches

Author:

Thomas Pascal Alexandre1ORCID

Affiliation:

1. Department of Thoracic Surgery, Lung Transplantation and Diseases of the Esophagus, Aix-Marseille University, Assistance Publique-Hôpitaux de Marseille, North Hospital, Chemin des Bourrely, 13915 Marseille, France

Abstract

The history of esophagectomy reflects a journey of dedication, collaboration, and technical innovation, with ongoing endeavors aimed at optimizing outcomes and reducing complications. From its early attempts to modern minimally invasive approaches, the journey has been marked by perseverance and innovation. Franz J. A. Torek’s 1913 successful esophageal resection marked a milestone, demonstrating the feasibility of transthoracic esophagectomy and the potential for esophageal cancer cure. However, its high mortality rate posed challenges, and it took almost two decades for similar successes to emerge. Surgical techniques evolved with the left thoracotomy, right thoracotomy, and transhiatal approaches, expanding the indications for resection. Mechanical staplers introduced in the early 20th century transformed anastomosis, reducing complications. The advent of minimally invasive techniques in the 1990s aimed to minimize complications while maintaining oncological efficacy. Robot-assisted esophagectomy further pushed the boundaries of minimally invasive surgery. Collaborative efforts, particularly from the Worldwide Esophageal Cancer Collaboration and the Esophageal Complications Consensus Group, standardized reporting and advanced the understanding of outcomes. The introduction of risk prediction models aids in making informed decisions. Despite significant improvements in survival rates and postoperative mortality, anastomotic leaks remain a concern, with recent rates showing an increase. Prevention strategies include microvascular anastomosis and ischemic preconditioning, yet challenges persist.

Publisher

MDPI AG

Subject

General Medicine

Reference73 articles.

1. The first successful resection of the thoracic portion of the esophagus for carcinoma;Torek;Surg. Gyn. Obstet.,1913

2. Histoire des résections oesophagiennes pour cancer;E-Mémoires L’académie Natl. Chir.,2006

3. Zur Radikaloperation des Oesophaguskarzinoms;Denk;Zentralbi Chir.,1913

4. Surgical aspects of carcinoma of the esophagus;Oschner;J. Thorac. Surg.,1941

5. Excision of thoracic oesophagus for carcinoma;Turner;N. Engl. J. Med.,1934

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