PMID: 8944464Oct 1, 1996Paper

Oesophagogastrectomy for iatrogenic perforation of oesophageal and cardia carcinoma

The British Journal of Surgery
D J AdamE W Cameron

Abstract

A casenote review identified 18 patients with carcinoma of the oesophagus and gastric cardia who underwent transthoracic oesophagectomy after instrumental perforation. Oesophagectomy was performed within 48 h in ten patients (early surgery group) and after a median delay of 22 (range 5-48) days in eight patients (delayed surgery group). All patients underwent resection via left thoracolaparotomy with immediate intrathoracic anastomosis using the stomach in 17 of 18 patients. There were no anastomotic leaks. Significant postoperative complications occurred in five of ten of the early group with two in-hospital deaths and a mean survival of 551 days. Six of eight patients in the delayed group developed postoperative complications with two in-hospital deaths and a mean survival of 297 days. Transthoracic resection with immediate intrathoracic anastomosis can be performed without anastomotic leakage but there is high associated respiratory morbidity. The timing of oesophagectomy has little effect on hospital morbidity or mortality rates but early surgery is associated with better long-term survival.

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Citations

Mar 24, 2009·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·E A GriffithsM Khurshid
Sep 1, 2005·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·E JohnssonB Liedman
Mar 10, 2011·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·C L DonohoeJ V Reynolds
Apr 5, 2016·Indian Journal of Gastroenterology : Official Journal of the Indian Society of Gastroenterology·Mukesh NasaRandhir Sud
Jul 14, 2021·The Journal of Surgical Research·Lukas F LiesenfeldAnja Schaible
Dec 21, 2010·The Journal of Thoracic and Cardiovascular Surgery·Yiyang DaiMichael Hünerbein

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