Clinicopathologic characteristics of esophagectomy for esophageal carcinoma in elderly patients

World Journal of Gastroenterology : WJG
Jian-Yang MaQing-Hua Zhou

Abstract

To evaluate the risk of esophagectomy for carcinoma of the esophagus in the elderly (70 years or more) compared with younger patients (< 70 years) and to determine whether the short-term outcomes of esophagectomy in the elderly have improved in recent years. Preoperative risks, postoperative morbidity and mortality in 60 elderly patients (> or = 70 years) with esophagectomy for carcinoma of the esophagus were compared with the findings in 1782 younger patients (< 70 years) with esophagectomy between January 1990 and December 2004. Changes in perioperative outcome and short-time survival in elderly patients between 1990 to 1997 and 1998 to 2004 were separately analyzed. Preoperatively, there were significantly more patients with hypertension, pulmonary dysfunction, cardiac disease, and diabetes mellitus in the elderly patients as compared with the younger patients. No significant difference was found regarding the operation time, blood loss, organs in reconstruction and anastomotic site between the two groups, but elderly patients were more often to receive blood transfusion than younger patients. Significantly more transhiatal and fewer transthoracic esophagectomies were performed in the elderly patients as compared with the yo...Continue Reading

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Citations

Dec 18, 2013·Journal of Surgical Oncology·Anna M J van NistelrooijBas P L Wijnhoven
Jan 4, 2017·Journal of Investigative Surgery : the Official Journal of the Academy of Surgical Research·Yong LiQingwei Liu
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Jan 16, 2014·Indian Journal of Surgical Oncology·Shailesh PuntambekarSunil Reddy
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Mar 26, 2013·Annals of Surgical Oncology·Miao-Fen ChenWen-Cheng Chen
Jan 21, 2020·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·Sivesh K KamarajahEwen A Griffiths
Nov 5, 2010·The Journal of Thoracic and Cardiovascular Surgery·Madhankumar KuppusamyDonald E Low

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