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Author:   Raymond L. Hurt
Publisher:   Springer London Ltd
Imprint:   Springer London Ltd
Edition:   Softcover reprint of the original 1st ed. 1989
Dimensions:   Width: 17.00cm , Height: 1.60cm , Length: 24.20cm
Weight:   0.547kg
ISBN:  

9781447131557

ISBN 10:   144713155
Pages:   298
Publication Date:   19 March 2012
Audience:   Professional and scholarly ,  Professional & Vocational
Format:   Paperback
Publisher's Status:   Active
Availability:   Manufactured on demand  
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Table of Contents

1 Historical Survey of Surgical Treatment.- Nineteenth Century.- Early Twentieth Century.- Early Attempts at Resection and Anastomosis.- Alternative Procedures.- Successful Transpleural Resection.- United Kingdom.- Successful Intrapleural Resection and Primary Anastomosis.- The Modern Era.- Present-day Surgical Statistics for Resection of Lower and Middle Third Oesophageal Carcinoma.- References.- 2 Surgical Anatomy.- Embryology.- Adult Anatomy.- Anatomical Relationships.- Structure of the Oesophagus.- Blood Supply.- Lymphatic Drainage.- Nerve Supply.- References.- 3 Epidemiology and Predisposing Factors.- Worldwide Occurrence.- Incidence in Men.- Incidence in Women.- Changing Frequency with Time.- Frequency amongst Migrants.- Frequency in Specific Population Groups.- Aetiology.- Genetic Factors.- Environmental Factors.- Conclusions.- References.- 4 Endoscopic Diagnosis and Intubation.- Technique.- Rigid Oesophagoscope.- Fibreoptic Oesophagoscope.- Preoperative Preparation.- Normal Endoscopic Appearances.- Pathological Appearances.- Inflammation.- Ulceration.- Stricture.- Tumour.- Therapeutic Procedures.- Biopsy.- Dilatation.- Intubation.- 5 Radiological Diagnosis and Assessment.- Diagnosis.- Early Oesophageal Cancer.- Advanced Cancer.- Other Unusual Oesophageal Malignancies.- Predisposing Conditions.- Achalasia.- Caustic Stricture.- Barrett’s Oesophagus.- Cervical Webs.- Staging of Oesophageal Carcinoma.- Computed Tomography.- Staging Systems.- Staging Criteria for Squamous Cell Oesophageal Carcinoma.- Lymph Node Staging.- Subdiaphragmatic Metastases.- Gastro-oesophageal Junction Tumours.- Ultrasound.- Magnetic Resonance Imaging (MRI).- Postoperative Assessment and Tumour Recurrence.- Early Complications.- Late Complications.- Conclusions.- References.- 6 Pathology.- Pathological Diagnosis.- Normal Histology.- Barrett’s Oesophagus (Columnar-lined Lower Oesophagus).- Squamous Cell Dysplasia and Carcinoma in situ.- Squamous Cell Carcinoma.- Adenocarcinoma.- Other Carcinomas.- Carcinomas Metastatic to the Oesophagus.- Natural History.- The Early Phase.- The Late, Advanced, Invasive Phase.- The Resected Specimen.- Allegedly Predisposing Pathological Conditions.- The Autopsy.- Staging.- Pathogenesis.- Histogenesis.- Chemical Carcinogens.- Tissue Culture Studies.- Human Papillomavirus.- Cachexia and Tumour Necrosis Factors.- DNA Analysis.- Experimental Carcinoma of the Oesophagus.- Conclusions.- References.- 7 Surgical Resection for Postcricoid Carcinoma.- Aetiology of Postcricoid Carcinoma.- Surgical Pathology.- Problems in Classification.- Rationale for Surgical Excision.- Excision of Primary Tumour.- Regional Lymph Nodes.- Techniques for Reconstruction of Hypopharynx.- Palliation.- Conclusions.- References.- 8 Surgical Resection for Intrathoracic Carcinoma.- Preoperative Assessment.- Size and Extent of Tumour.- General Fitness of Patient.- Selection of Patients for Operation.- Preoperative Treatment.- Types of Operation (with Use of Stomach).- Anaesthesia.- Surgical Approach.- Use of other Organ Substitutes.- Postoperative Management.- Pain Relief.- Fluid Replacement.- First Postoperative Day.- Second Postoperative Day.- Third and Subsequent Days.- Postoperative Complications.- Blood Loss.- Cardiac Tamponade.- Low Output State.- Pulmonary Complications.- Renal Complications.- Anastomotic Leaks.- Chylothorax.- Late Complications.- Dysphagia.- Diarrhoea.- Failure to Thrive.- Cough.- Results.- Hospital Mortality.- Late Results.- Five-year Survival.- References.- 9 Transhiatal Oesophagectomy without Formal Thoracotomy.- Historical.- Indications.- Preoperative Preparation.- Operative Approach.- Mobilisation from Below.- Gastric Mobilisation.- Approach from Above.- Combined Mobilisation from Above and Below.- Resection.- Oesophagogastrostomy.- Technical Considerations.- Closure.- Postoperative Care.- Results.- Conclusions.- References.- 10 Resection Using Stapling Instruments.- Historical Aspects.- Technique.- Results.- Anastomotic Leaks.- Strictures.- Age.- Conclusions.- References.- 11 Palliative Therapy.- Palliative Resection.- Surgical Bypass Procedures.- Disadvantages of Surgical Bypass.- Intubation.- Intubation Using the Rigid Oesophagoscope.- Surgical (Traction) Intubation.- Fibreoptic Endoscopic Intubation.- Laser Therapy.- Radiotherapy.- Chemotherapy.- Dilatation.- Gastrostomy and Oesophagostomy.- Conclusions.- References.- 12 Radiotherapy and Cytotoxic Therapy.- Historical.- Radical Radiotherapy.- Criteria for Radical Radiotherapy.- Selection of Treatment.- Treatment Technique and Dose.- Treatment Morbidity.- Results of Radiotherapy.- Recent Developments in Radiotherapy.- Chemotherapy.- Combined Modality Treatment.- Preoperative Radiotherapy.- Postoperative Radiotherapy.- Chemotherapy, Radiation and Surgery.- Palliative Treatment.- Conclusions.- References.- 13 Brachytherapy (Intracavitary Irradiation).- Technique.- Insertion.- Dose.- Patient Selection.- Results.- References.- 14 Laser Therapy.- Background.- Lasers.- Interaction between Laser Light and Living Tissue.- Indications and Aims.- Equipment.- Endoscopic Technique.- Results.- Complications.- Comparisons with Other Techniques.- Combination Therapy.- Early Oesophageal Cancer.- Laser Hyperthermia.- Photodynamic Therapy (PDT).- Summary.- References.- 15 Management of Complications of Intrathoracic Resection.- The Influence of Bacterial Flora on Postoperative Morbidity.- Pulmonary Complications.- Management.- Anastomotic Leakage.- Anatomical Considerations.- Nutritional Status.- Anastomotic Technique.- Clinical Presentation and Management of Anastomotic Leakage.- Incidence.- Presentation.- Management.- Conclusion.- Other Complications Related to Infection.- Chylothorax Following Oesophagectomy.- Cardiological Complications.- Other Complications.- Summary.- References.

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