Development of less invasive surgical procedures for thoracic esophageal cancer

Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus
S OkazumiM Sugaya

Abstract

In order to minimize the invasiveness of the operative procedure for thoracic esophageal cancer, several procedures have been introduced since January 1997. They included: (i) perioperative use of steroids; (ii) muscle-sparing thoracotomy without costectomy; (iii) preparation of the gastric tube with preservation of sufficient blood supply; (iv) reconstruction of the alimentary tract via posterior-mediastinal route; and (v) formation of anastomosis between the remaining esophagus and the gastric tube at a location between the gastroepiploic arteries of the gastric greater curvature. Twenty-one patients who did not receive preoperative chemoradiotherapy underwent the newly developed procedure, and were compared with those receiving the original procedure. Hospital mortality was zero, and postoperative systemic inflammatory response syndrome was suppressed. The mean postoperative hospital stay was 21.5 days, and the actuarial 3-year survival rate was 76.2%. From the comparison with those receiving the original procedure, it can be concluded that the newly developed procedures were effective in minimizing surgical invasiveness and were sufficiently curative in terms of cancer treatment.

References

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Citations

Sep 8, 2007·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Hideaki ShimadaTakenori Ochiai
Aug 2, 2005·Journal of Feline Medicine and Surgery·Monica AugustoKathryn M Pratschke
Mar 9, 2007·World Journal of Surgery·Hideaki ShimadaTakenori Ochiai
Dec 13, 2005·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·Yoshihiro NabeyaH Shimada
Jun 4, 2020·Annals of Gastroenterological Surgery·Hisahiro Matsubara

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