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Volume 348:1177-1179 March 20, 2003 Number 12
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Surgical Treatment of Esophageal Cancer

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 by Kitajima, M.
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 by Hulscher, J. B.F.
-PubMed Citation
To the Editor: Hulscher and colleagues' success with transhiatal and transthoracic surgical approaches for esophageal carcinoma (median survival, 1.8 and 2.0 years, respectively) explains why they found no difference between the two procedures (Nov. 21 issue).1 Both participating institutions were high-volume centers for esophagectomy procedures (more than 50 per year), with a lower perioperative mortality rate (<4 percent) than that in the Medical Research Council trial (10 percent).2,3 Thus, over a six-year period, at least 600 such operations must have been conducted. However, the authors state that 263 patients were eligible. It is difficult to imagine that the rest of . . . [Full Text of this Article]




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