• Hiroshi Saeki, Satoshi Tsutsumi, Takafumi Yukaya, Hirotada Tajiri, Ryosuke Tsutsumi, Sho Nishimura, Yu Nakaji, Kensuke Kudou, Shingo Akiyama, Yuta Kasagi, Yuichiro Nakashima, Masahiko Sugiyama, Hideto Sonoda, Kippei Ohgaki, Eiji Oki, Ryuji Yasumatsu, Torahiko Nakashima, Masaru Morita, and Yoshihiko Maehara.
• *Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan †Department of Otorhinolaryngology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan ‡Department of Gastroenterological Surgery, National Kyushu Cancer Center, Fukuoka, Japan.
• Ann. Surg. 2017 Jan 1; 265 (1): 130-136.

ObjectiveThe objectives of this retrospective study were to elucidate the clinicopathological features and recent surgical results of cervical esophageal cancer.Summary Background DataCervical esophageal cancer has been reported to have a dismal prognosis. Accurate knowledge of the clinical characteristics of cervical esophageal cancer is warranted to establish appropriate therapeutic strategies.MethodsThe clinicopathological features and treatment results of 63 consecutive patients with cervical esophageal cancer (Ce group) who underwent surgical resection from 1980 to 2013 were analyzed and compared with 977 patients with thoracic or abdominal esophageal cancer (T/A group) who underwent surgical resection during that time.ResultsAmong the patients who received curative resection, the 5-year overall and disease-specific survival rates of the Ce patients were significantly better than those of the T/A patients (overall: 77.3% vs 46.5%, respectively, P = 0.0067; disease-specific: 81.9% vs 55.8%, respectively, P = 0.0135). Although total pharyngo-laryngo-esophagectomy procedures were less frequently performed in the recent period, the rate of curative surgical procedures was markedly higher in the recent period (2000-1013) than that in the early period (1980-1999) (44.4% vs 88.9%, P = 0.0001). The 5-year overall survival rate in the recent period (71.5%) was significantly better than that in the early period (40.7%, P = 0.0342).ConclusionsCurative resection for cervical esophageal cancer contributes to favorable outcomes compared with other esophageal cancers. Recent surgical results for cervical esophageal cancer have improved, and include an increased rate of curative resection and decreased rate of extensive surgery.

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