The history of British oesophageal surgery.

Collis, J. Leigh

doi:10.1136/thx.37.11.795

Cited by 10 publications

(3 citation statements)

References 46 publications

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“…A precondition for successful surgical repair of esophageal rupture was, besides knowledge of this disorder and timely diagnosis, the establishment of general anesthesia suitable for thoracic surgery. 7 Magill and other pioneers developed endotracheal inhalational anesthesia with positive pressure through the trachea, which kept the lung expanded during thoracotomy. 8 This achievement in the early decades of the 20th century was a major breakthrough and enabled maintenance of pulmonary function when the thoracic cavity was opened during surgical procedures.…”

Section: Struggle For a Timely Diagnosis And First Attempts At Treatment (1910s To 1940s)mentioning

confidence: 99%

Times and Trends in the Treatment of Spontaneous Perforation of the Esophagus: From Herman Boerhaave to the Present Age

Schweigert

Dubecz

Solymosi

et al. 2013

The American Surgeon™

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Spontaneous rupture of the esophagus is a rare devastating condition, which was first described by Herman Boerhaave in 1724. Only a handful of cases were recorded during the 18th and 19th centuries. Diagnosis was usually obtained on autopsy. Only in 1914 Irving Walker achieved the first antemortem diagnosis of spontaneous rupture of the esophagus. The dawn of thoracic surgery during the first decades of the 20th century opened up the way for operative cure. More than 200 years after Boerhaave's initial report, Barrett as well as Clagett and Olsen independently accomplished the first successful surgical treatment by primary repair of the esophageal lesion in 1947. Since those pioneer days, various suggestions for proper treatment have been made ranging from conservative, nonoperative means to extended procedures such as esophagectomy. Invention of minimally invasive surgery and endoscopic measures has further broadened the spectrum of available therapeutic options. The aim of this history article is to outline the development of diagnosis and management of spontaneous rupture of the esophagus from the age of Herman Boerhaave to the present times.

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Section: Struggle For a Timely Diagnosis And First Attempts At Treatment (1910s To 1940s)mentioning

confidence: 99%

Times and Trends in the Treatment of Spontaneous Perforation of the Esophagus: From Herman Boerhaave to the Present Age

Schweigert

Dubecz

Solymosi

et al. 2013

The American Surgeon™

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“…Surgery, chemotherapy, radiotherapy (RT), and different combinations of these modalities have all been used to treat esophageal cancer, yet results still remain disappointing. Esophageal surgery has been a routine part of surgical practice within the UK since the mid‐1930s; however, this is an option for only 30% of patients as the majority present with metastatic or unresectable disease . Outcomes with surgery alone are rather poor with a median survival of around 16 months and 2‐year survival rates of just 37% …”

Section: Introductionmentioning

confidence: 99%

Trimodality therapy and definitive chemoradiotherapy for esophageal cancer: a single-center experience and review of the literature

et al. 2014

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In the UK, the standard of care for esophageal cancer has generally combined surgery with neoadjuvant chemotherapy, with definitive chemoradiotherapy (dCRT) being reserved for certain subgroups. Chemoradiotherapy followed by surgery (trimodality therapy) has not been widely adopted. The outcomes of patients undergoing dCRT or trimodality therapy at our cancer center between 2004 and 2012 were restrospectively analyzed. Trimodality therapy was offered to selected patients of good performance status (World Health Organisation performance status 0/1), with squamous cell carcinoma or bulky adenocarcinoma. dCRT was offered to patients of good PS but with comorbidities, upper third tumors or at patient's request. Patients received four cycles of chemotherapy with a platinum agent (mostly cisplatin) and a fluoropyrimidine (mostly 5-fluorouracil) over a total of 11 weeks. Cycles 3 and 4 were given concurrently with radiotherapy: 50 Gy in 25 fractions for dCRT and 45 Gy in 25 fractions in the trimodality group. Surgery occurred 8-10 weeks following the completion of chemoradiotherapy. The cut-off length for maximum gross tumor volume length was 10 cm. One hundred two patients were included (47 received dCRT, and 55 received trimodality treatment). The majority of tumors were stage III (80.4%), and two-thirds were located in the distal esophagus (64.7%). Median follow-up was 44 months. The 2-year overall survival (OS) was 57.3% (median OS 39.7 months) for the dCRT group and 77.8% (median not reached) for the trimodality group. The 5-year OS rates were 38% and 58%, respectively. Postoperative mortality rate was low at 1.8%, and the pathological complete response rate was 23.6%. In conclusion, trimodality treatment for patients with esophageal and junctional gastroesophageal tumors offers high rates of 2-year survival, and the potential for long-term cure. dCRT is an established alternative for patients that are not fit or suitable for surgery.

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“…Αφ' ενός, ο Γερμανός χειρούργος Kuhn, που σχεδίασε και επέδειξε πλήρη σειρά ευκάμπτων, μεταλλικών, ενδοτραχειακών σωλήνων και κατανοώντας την απλότητα της φυσιολογίας της θετικής πίεσης, δημιούργησε αναισθητικά μηχανήμα τα παρόμοια των σημερινών. Αφ' ετέρου, ο Sauerbruch της κλινικής του von Mikulicz στο Breslau (Collis, 1982), έκανε και εντυπωσιακή παρουσίαση του «θαλάμου αρνητι-κής πίεσης» επί του θωρακικού τοιχώματος, που έλυσε το πρόβλημα χιλιάδων φυματι κών ασθενών, που περίμεναν να χειρουργηθούν, εάν αντιμετωπιζόταν ο ανοικτός θώρακας, διεγχειρητικά.…”

Section: προλογοςunclassified

Η επίδραση της υποβοηθούμενης μαχανικής αναπνοής σε χρόνιες αποφρακτικές πνευμονοπάθειες με μείγμα He-O_2

Παναγοπούλου¹

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The history of British oesophageal surgery.

Cited by 10 publications

References 46 publications

Times and Trends in the Treatment of Spontaneous Perforation of the Esophagus: From Herman Boerhaave to the Present Age

Times and Trends in the Treatment of Spontaneous Perforation of the Esophagus: From Herman Boerhaave to the Present Age

Trimodality therapy and definitive chemoradiotherapy for esophageal cancer: a single-center experience and review of the literature

Η επίδραση της υποβοηθούμενης μαχανικής αναπνοής σε χρόνιες αποφρακτικές πνευμονοπάθειες με μείγμα He-O_2

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