Standard surgical approaches in the management of esophageal cancer

Much controversy remains regarding the optimal treatment for patients with carcinoma of the esophagus. Further studies are necessary to examine the utility and efficacy of each approach in treating esophageal cancer either alone or in combination with other modalities. Until data from prospective randomized trials showing a clear benefit using a particular approach are available, surgeons should use their better judgement in individualizing and selecting the most appropriate surgical approach to provide the best chance of cure or lasting palliation for this disease that challenges both patient and surgeon.