We thank Dr Badruddoja for his valuable comments and suggestions triggering the dialogue of this hot topic. We totally agree that patients with esophageal cancer should be discussed and treated in a multidisciplinary setting and that esophageal cancer surgery, known for its complexity, should be performed in high-volume centers by skilled and experienced esophageal surgeons. This has been expressed in the current article and highlighted in a previous study published by our group.1
Rouvelas I, Lagergren J. Results of Esophagectomy in High- and Low-Volume Centers—Reply. Arch Surg. 2007;142(11):1113–1114. doi:10.1001/archsurg.142.11.1113
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