{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,17]],"date-time":"2025-09-17T14:52:55Z","timestamp":1758120775086},"reference-count":31,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[1994,9,1]],"date-time":"1994-09-01T00:00:00Z","timestamp":778377600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1994,9,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>The recurrence pattern after \u2018limited\u2019 resection for oesophageal carcinoma was analysed to determine whether more extensive local excision of tumour in combination with radical lymphadenectomy improves locoregional disease control and long-term survival. A total of 143 patients who underwent limited surgery with curative intent between 1983 and 1989 were studied: 90 with squamous cell carcinoma (group 1) and 53 with adenocarcinoma (group 2) of the thoracic oesophagus. One patient was lost to follow-up. Tumour recurrence occurred in 40 patients (44 per cent) in group 1 and 35 (66 per cent) in group 2. Locoregional recurrence in isolation occurred in 11 per cent of patients in group 1 and 8 per cent of those in group 2; locoregional recurrence was detected in combination with tumour elsewhere in 19 and 28 per cent respectively. In conclusion, one-third of patients at the most might potentially have benefited from more radical local tumour resection. Theoretical advantages such as a prolonged disease-free interval and definite cure should be weighed against the higher risk of serious complications. More extensive procedures should therefore be performed only in controlled clinical studies.<\/jats:p>","DOI":"10.1002\/bjs.1800810921","type":"journal-article","created":{"date-parts":[[2007,3,3]],"date-time":"2007-03-03T20:54:15Z","timestamp":1172955255000},"page":"1320-1323","source":"Crossref","is-referenced-by-count":40,"title":["Recurrence pattern of oesophageal carcinoma after limited resection does not support wide local excision with extensive lymph node dissection"],"prefix":"10.1093","volume":"81","author":[{"given":"J J B","family":"van Lanschot","sequence":"first","affiliation":[{"name":"Department of General Surgery, University Hospital Dijkzigt , Rotterdam,","place":["The Netherlands"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H W","family":"Tilanus","sequence":"additional","affiliation":[{"name":"Department of General Surgery, University Hospital Dijkzigt , Rotterdam,","place":["The Netherlands"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M H J","family":"Voormolen","sequence":"additional","affiliation":[{"name":"Department of General Surgery, University Hospital Dijkzigt , Rotterdam,","place":["The Netherlands"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R A J","family":"van Deelen","sequence":"additional","affiliation":[{"name":"Department of General Surgery, University Hospital Dijkzigt , Rotterdam,","place":["The Netherlands"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1994,9,1]]},"reference":[{"key":"2024092815365441500_bib1","first-page":"467","article-title":"Substernal gastric bypass of the excluded esophagus - results of an ill-advised operation","volume":"96","author":"Orringer","year":"1984","journal-title":"Surgery"},{"key":"2024092815365441500_bib2","doi-asserted-by":"crossref","first-page":"841","DOI":"10.1136\/gut.32.8.841","article-title":"Palliation of malignant dysphagia: surgery, radiotherapy, laser, intubation alone or in combination?","volume":"32","author":"Bown","year":"1991","journal-title":"Gut"},{"key":"2024092815365441500_bib3","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1016\/S0022-5223(19)38900-7","article-title":"En bloc resection for neoplasms of the esophagus and cardia","volume":"85","author":"Skinner","year":"1983","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2024092815365441500_bib4","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1016\/S0022-5223(19)35385-1","article-title":"Selective therapeutic approach to cancer of the lower esophagus and cardia","volume":"95","author":"DeMeester","year":"1988","journal-title":"J Thorac Cardiovasc Surg"},{"volume-title":"Surgery for Cancer of the Esophagus","year":"1990","author":"Akiyama","key":"2024092815365441500_bib5"},{"key":"2024092815365441500_bib6","doi-asserted-by":"crossref","first-page":"106","DOI":"10.1002\/jso.2930480207","article-title":"Lymph node metastasis in thoracic esophageal carcinoma","volume":"48","author":"Kato","year":"1991","journal-title":"J Surg Oncol"},{"key":"2024092815365441500_bib7","doi-asserted-by":"crossref","first-page":"583","DOI":"10.1097\/00000658-199211000-00010","article-title":"Surgical strategies in esophageal carcinoma with emphasis on radical lymphadenectomy","volume":"216","author":"Lerut","year":"1992","journal-title":"Ann Surg"},{"key":"2024092815365441500_bib8","doi-asserted-by":"crossref","first-page":"391","DOI":"10.1097\/00000658-198610000-00007","article-title":"Selection of operation for esophageal cancer based on staging","volume":"204","author":"Skinner","year":"1986","journal-title":"Ann Surg"},{"key":"2024092815365441500_bib9","doi-asserted-by":"crossref","first-page":"438","DOI":"10.1097\/00000658-198110000-00007","article-title":"Principles of surgical treatment for carcinoma of the esophagus. 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