59 / 1084
3/28/2017
1
TheRoyalMarsden
State of Art of Surgery in a
Combined Treatment Perspective:
Oesophageal Cancer
William Allum
2
3
LEFT
RIGHT
ANTERIOR
4
TheRoyalMarsden
ENDOSCOPIC RESECTION
•
T1a
•
pT1 sm1 <500 micro mm
•
well / moderately well differentiated adenocarcinoma
•
no lymphatic or venous invasion
•
intramucosal cancer regardless of size without ulceration
•
minute submucosal penetration (sm1) and <20mm
EMR vs ESD
EMR
– Polypectomy
– Piecemeal
ESD
– En bloc
– Complications