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  Table of Contents  
Year : 2014  |  Volume : 51  |  Issue : 4  |  Page : 458

Esophageal cancer surgery: Concerns

Thoracic Surgery Department, Theagenio Hospital, Thessaloniki, Greece

Date of Web Publication1-Feb-2016

Correspondence Address:
Dr. N Barbetakis
Thoracic Surgery Department, Theagenio Hospital, Thessaloniki
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0019-509X.175299

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How to cite this article:
Barbetakis N, Asteriou C, Kleontas A. Esophageal cancer surgery: Concerns. Indian J Cancer 2014;51:458

How to cite this URL:
Barbetakis N, Asteriou C, Kleontas A. Esophageal cancer surgery: Concerns. Indian J Cancer [serial online] 2014 [cited 2022 Aug 7];51:458. Available from:


We have read with great interest the article by Thakur B et al., concerning their experience in esophageal cancer surgery and we would like to congratulate them for their results although there are a few points that have to be highlighted.[1]

Intrathoracic anastomotic leakage rates are between 4 and 11% according to the international literature.[2] The percentage reported here is zero despite the fact that many patients had undergone preoperative chemoradiation and we would like to know if the authors are using a kind of reinforcement of the anastomosis like pleural tenting or muscular flap. The second question refers to the role of pyloroplasty because it is not clarified if the authors use pyloroplasty as a routine procedure or not. Pyloroplasty seems to reduce the incidence of gastric outlet obstruction and speed up gastric emptying and this has to be stated clearly for our readers.[3]

  References Top

Thakur B, Zhang CS, Mena XL, Bhaktaman S, Bhurtel S, Khakural P. Eight year experience in esophageal cancer surgery. Indian J Cancer 2011;48:34-9.  Back to cited text no. 1
[PUBMED]  Medknow Journal  
Holscher AH, Schroder W, Bollschweiler E, Beckurts KT, Scneider PM. Wie sicher ist die hoch intrathorakale osophagogastrostomie? Chirurg 2003;74:726-33.  Back to cited text no. 2
Khan OA, Manners J, Rengarajan A, Dunning J. Does pyloroplasty following esophagectomy improve early clinical outcomes? Interact Cardiovasc Thorac Surg. 2007;6:247-50.  Back to cited text no. 3


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