biostudies-literatureSaviaro HCancer Foundation Finland sr4638-4649https://www.ebi.ac.uk/biostudies/studies/S-EPMC8411167biostudies-literatureUnknown13(8)<h4>Background</h4>Esophagectomy is the mainstay of surgical treatment of esophageal cancer, but involves high operative risk. The aim of this study was to review the evolution surgical treatment of esophageal cancer in Northern Finland, with introduction of minimally invasive techniques.<h4>Methods</h4>All elective esophagectomies performed in Oulu University Hospital between years 1987 and 2020 were included. Treatment strategies were compared to current guidelines including staging and use of neoadjuvant therapy, and benchmark values including postoperative morbidity, hospital stay, readmissions and 90-day mortality. Long-term survival was compared to previous national studies.<h4>Results</h4>Between years 1987 and 2020 a total of 341 underwent an esophagectomy. Transhiatal resection waJournal of thoracic diseaseThirty years of esophageal cancer surgery in Oulu University Hospital.PMC8411167200091Merilainen SRintala JHelminen OYannopoulos FHuhta HSaarnio JKoivukangas VKauppila JHSaviaro HfalseThirty years of esophageal cancer surgery in Oulu University Hospital.<h4>Background</h4>Esophagectomy is the mainstay of surgical treatment of esophageal cancer, but involves high operative risk. The aim of this study was to review the evolution surgical treatment of esophageal cancer in Northern Finland, with introduction of minimally invasive techniques.<h4>Methods</h4>All elective esophagectomies performed in Oulu University Hospital between years 1987 and 2020 were included. Treatment strategies were compared to current guidelines including staging and use of neoadjuvant therapy, and benchmark values including postoperative morbidity, hospital stay, readmissions and 90-day mortality. Long-term survival was compared to previous national studies.<h4>Results</h4>Between years 1987 and 2020 a total of 341 underwent an esophagectomy. Transhiatal resection wa2021-01-01T00:00:00Z2021 Aug2025-04-04T13:58:06.547Z2025-04-04T13:58:06.547ZS-EPMC84111673452730510.21037/jtd-21-520