The surgery of the œsophagus

Ogilvie, Heneage

doi:10.1002/bjs.18004720502

Cited by 14 publications

(3 citation statements)

References 25 publications

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“…The operation of oesophago-gastrcctomy is a very major procedure, and inevitably carries a heavy mortality. Ogilvie (1960) in a large collected series from different centres in this country and the U.S.A. estimated that this was 24. 6%.…”

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confidence: 99%

Thoracic Surgery in the Elderly Patient

Bickford¹

1963

Geront clin

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confidence: 99%

Thoracic Surgery in the Elderly Patient

Bickford¹

1963

Geront clin

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“…In the UK, Georges Grey Turner reintroduced this "pull-through" technique in 1933, with a first successful operation in which esophageal continuity was restored two months later via a presternal channel formed by a skin tube above and a jejunal loop below [5]. In his experience, operative mortality rate was 40%, with only 3 long-term successes among 25 patients, as reported far later by Ogilvie [6]. In 1941, Oschner and DeBakey [4] summarized the outcome, reporting that only 17 of 58 patients undergoing a Torek resection had survived, an operative mortality still exceeding 70%.…”

Section: The Premises: From Franz J a Torek (1861-1938) To Debakey (1...mentioning

confidence: 98%

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

Thomas

2023

Medicina

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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.

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“…The mortality nevertheless remains formidable, as Ogilvie (1960) showed when collecting a large series of cases from American and British surgeons: his figure was 24.6 per cent in 1371 cases.…”

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confidence: 99%