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The assessment of radicality after histological examination revealed a curative (R0) resection in 121 patients (70 per cent) and a palliative (R1-R2) resection in 52 (30 per cent). Prognosis was correlated with the extent of mediastinal lymph node dissection. In 77 patients with stage pT1\u20133 pN0\u20131 pM0 the 5-year survival rate was 40 per cent after abdominothoracic resection with two-field lymph node dissection and zero after transhiatal resection (P = 0\u00b701). The authors propose a differentiated surgical approach involving abdominothoracic resection with two- field lymph node dissection for patients with limited tumours (pT1\u20133 pN0\u20131 M0) if the operative risk is tolerable. Transhiatal resection appears to be effective only in patients with early tumours (Union Internacional Contra la Cancrum stage 0).<\/jats:p>","DOI":"10.1002\/bjs.1800831047","type":"journal-article","created":{"date-parts":[[2007,3,1]],"date-time":"2007-03-01T07:25:37Z","timestamp":1172733937000},"page":"1473-1477","source":"Crossref","is-referenced-by-count":18,"title":["Selective approach to the treatment of oesophageal cancer"],"prefix":"10.1093","volume":"83","author":[{"given":"T","family":"Junginger","sequence":"first","affiliation":[{"name":"Department of General and Abdominal Surgery, University of Mainz ,","place":["Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P","family":"Dutkowski","sequence":"additional","affiliation":[{"name":"Department of General and Abdominal Surgery, University of Mainz 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