Experience of partial oesophagectomy in surgical treatment of lower and middle thoracic oesophageal cancer. From a follow-up of 366 cases.

European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
L CouraudC Martigne

Abstract

Since carcinoma of the oesophagus is considered to be frequently multicentric, total oesophagectomy appears the only radical therapeutical approach. A follow-up of 366 patients who underwent partial oesophagectomy shows that this procedure can be curative as well as palliative and is sometimes the only procedure possible with a reasonable mortality. These patients had an oesophageal carcinoma located between the cardia and the level of the aortic arch (60.5% squamous, 37% adenocarcinoma). Of these, 22% were over 70 years of age. The surgical route was a left thoracotomy in 280 cases (with anastomosis below or above the aortic arch) or a laparotomy and right thoracotomy in 86 cases. The oesophagus was transected as high as possible and replaced by an isoperistaltic tube fashioned from the greater curvature of the stomach. Mediastinal tissues and the lesser curvature with their lymph nodes were removed. The overall operative mortality was 7% (4% in patients less than 70 and 15% over 70). Very few anastomotic fistulae were observed (6 cases) but they were always severe (6 deaths). The middle and long term results show acceptable functional sequelae and a good survival quality. The survival is 57% at 1 year, 30% at 3 years and 23% ...Continue Reading

Citations

May 1, 1994·World Journal of Surgery·S Y LawJ Wong
Dec 24, 1997·Journal of the American College of Surgeons·V A AnikinJ A McGuigan
Jan 1, 1995·The Australian and New Zealand Journal of Surgery·I O'RourkeD C Johnson
Oct 2, 1998·Radiotherapy and Oncology : Journal of the European Society for Therapeutic Radiology and Oncology·A J SykesJ E Marrs
Jan 1, 1997·The British Journal of Surgery·P ThomasP Fuentes
Jun 1, 1992·Journal of Surgical Oncology·V A Anikin

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