Total esophagogastrectomy in the neoplasms of the esophagus and esofagogastric junction: when must be indicated?

Revista do Colégio Brasileiro de Cirurgiões
Nelson Adami AndreolloValdir Tercioti Junior

Abstract

to analyse the indications and results of the total esophagogastrectomy in cancers of the distal esophagus and esophagogastric junction. twenty patients with adenocarcinomas were operated with a mean age of 55 ± 9.9 years (31-70 years), and 14 cases were male (60%). Indications were 18 tumors of the distal esophagus and esophagogastric junction (90%) and two with invasion of gastric fundus (10%) in patients with previous gastrectomy. Preoperative colonoscopy to exclude colonic diseases was performed in ten cases. the surgical technique consisted of median laparotomy and left cervicotomy, followed by transhiatal esophagectomy associated with D2 lymphadenectomy. The reconstructions were performed with eight esophagocoloduodenoplasty and the others were Roux-en-Y esophagocolojejunoplasty to prevent the alkaline reflux. Three cases were stage I / II, while 15 cases (85%) were stages III / IV, reflecting late diagnosis of these tumors. The operative mortality was 5 patients (25%): a mediastinitis secondary to necrosis of the transposed colon, abdominal cellulitis secondary to wound infection, severe pneumonia, an irreversible shock and sepsis associated with colojejunal fistula. Four patients died in the first year after surgery: 3 ...Continue Reading

References

Jan 1, 1991·Cancer Treatment and Research·E Moreno González
Jan 1, 1981·The Japanese Journal of Surgery·E M GonzalezJ S Gonzalez
Jun 1, 1995·The Annals of Thoracic Surgery·R J CerfolioP C Pairolero
Jan 1, 1996·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·E PompeoT Lerut
Sep 13, 2001·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·H FürstF W Schildberg
Mar 1, 2002·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·S R DeMeester
Aug 13, 2002·Langenbeck's Archives of Surgery·T P HüttlH Fürst
Mar 4, 2003·Archives of Surgery·Peter A DavisJohn Wong
Dec 4, 2003·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·Z Popovici
Sep 24, 2004·Journal of Surgical Oncology·Huib A CenseJ Jan B van Lanschot
Sep 1, 2005·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·B C ChengT S Wang
Jan 18, 2006·Langenbeck's Archives of Surgery·Yasuhiro ShirakawaNoriaki Tanaka
Oct 13, 2006·Surgical Oncology Clinics of North America·Marcus FeithJ Rüdiger Siewert
Mar 27, 2007·The Annals of Thoracic Surgery·Satoru MotoyamaJun-ichi Ogawa
Feb 14, 2008·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·Y DokiM Monden
Oct 27, 2009·The Annals of Thoracic Surgery·Shinji MineSyusuke Haruta
Aug 3, 2010·Recent Results in Cancer Research. Fortschritte Der Krebsforschung. Progrès Dans Les Recherches Sur Le Cancer·Marc Schiesser, Paul M Schneider
Jun 1, 2011·Surgery Today·Takushi Yasuda, Hitoshi Shiozaki
Sep 4, 2013·Arquivos Brasileiros De Cirurgia Digestiva : ABCD = Brazilian Archives of Digestive Surgery·Valdir Tercioti-JuniorOsvaldo Malafaia
Sep 27, 2014·The Annals of Thoracic Surgery·Christina L GreeneTom R DeMeester

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Citations

Oct 21, 2016·Arquivos Brasileiros De Cirurgia Digestiva : ABCD = Brazilian Archives of Digestive Surgery·Francisco TustumiIvan Cecconello
May 20, 2017·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Paolo AurelloGiovanni Ramacciato

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