Comparison of Ivor-Lewis vs Sweet Esophagectomy for Esophageal Squamous Cell Carcinoma

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Abstract
Esophageal cancer is one of the most common lethal malignant diseases worldwide.1Surgery offers the best curative option; however, the optimal surgical technique is still under debate with regard to the surgical approaches and extent of lymphadenectomy. Controversy in the West exists between an extended transthoracic approach and a limited transhiatal esophagectomy.2,3 In China, Sweet esophagectomy is widely performed through a single left-sided thoracic incision,4-6 although it is criticized for inadequate lymphadenectomy in the upper mediastinum. However, the right-sided Ivor-Lewis procedure, while offering better visualization of the thoracic esophagus and thus facilitating an extended lymph node dissection, is performed less often because it is considered to be associated with more postoperative complications.5

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