The European journal of surgery = Acta chirurgica · 1996
Oesophagectomy without thoracotomy: first 250 patients.
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Gupta N M
Аннотация
OBJECTIVE: To evaluate morbidity, mortality and cure rate after transhiatal oesophagectomy for carcinoma of the oesophagus.
DESIGN: Prospective audit.
SETTING: University hospital, India.
SUBJECTS: From December 1986 to June 1993 a total of 250 consecutive patients underwent one stage transhiatal oesophagectomy with cervical oesophagogastrostomy for carcinoma of the oesophagus.
INTERVENTIONS: Transhiatal oesophagectomy.
MAIN OUTCOME MEASURES: Morbidity and mortality.
RESULTS: The mortality was 6% (14/250) and complications included recurrent laryngeal nerve palsy (n = 35, 14%), anastomotic leak (n = 38, 15%), respiratory failure (n = 8, 3%), anastomotic stenosis (n = 44, 18%) and anastomotic recurrence (n = 3, 1%). The actuarial survival at one year was 45% and at five years was 5%.
CONCLUSIONS: Transhiatal oesophagectomy is safe and well tolerated for the treatment of carcinoma of the oesophagus when done with care. Avoidance of thoracotomy, adequate longitudinal clearance, cervical anastomosis, and a short operating time are its main advantages.
DESIGN: Prospective audit.
SETTING: University hospital, India.
SUBJECTS: From December 1986 to June 1993 a total of 250 consecutive patients underwent one stage transhiatal oesophagectomy with cervical oesophagogastrostomy for carcinoma of the oesophagus.
INTERVENTIONS: Transhiatal oesophagectomy.
MAIN OUTCOME MEASURES: Morbidity and mortality.
RESULTS: The mortality was 6% (14/250) and complications included recurrent laryngeal nerve palsy (n = 35, 14%), anastomotic leak (n = 38, 15%), respiratory failure (n = 8, 3%), anastomotic stenosis (n = 44, 18%) and anastomotic recurrence (n = 3, 1%). The actuarial survival at one year was 45% and at five years was 5%.
CONCLUSIONS: Transhiatal oesophagectomy is safe and well tolerated for the treatment of carcinoma of the oesophagus when done with care. Avoidance of thoracotomy, adequate longitudinal clearance, cervical anastomosis, and a short operating time are its main advantages.