Transhiatal esophagectomy in a high volume institution.

World Journal of Surgical Oncology
Andrew R DaviesRobert C Mason

Abstract

The optimal operative approach for carcinoma at the lower esophagus and esophagogastric junction remains controversial. The aim of this study was to assess a single unit experience of transhiatal esophagectomy in an era when the use of systemic oncological therapies has increased dramatically. Between January 2000 and November 2006, 215 consecutive patients (182 males, 33 females, median age = 65 years) underwent transhiatal esophagectomy; invasive malignancy was detected preoperatively in 188 patients. 90 patients (42%) received neoadjuvant chemotherapy. Prospective data was obtained for these patients and cross-referenced with cancer registry survival data. There were 2 in-hospital deaths (0.9%). Major complications included: respiratory complications in 65 patients (30%), cardiovascular complications in 31 patients (14%) and clinically apparent anastomotic leak in 12 patients (6%). Median length of hospital stay was 14 days. The radicality of resection was inversely related to T stage: an R0 resection was achieved in 98-100% of T0/1 tumors and only 14% of T4 tumors. With a median follow up of 26 months, one and five year survival rates were estimated at 81% and 48% respectively. Transhiatal esophagectomy is an effective oper...Continue Reading

References

Oct 1, 1978·Anesthesiology·W D OwensE L Spitznagel
Mar 23, 1991·JAMA : the Journal of the American Medical Association·W J BlotJ F Fraumeni
Nov 21, 1998·The British Journal of Surgery·J R Siewert, H J Stein
Sep 24, 1999·Annals of Surgery·M B OrringerM D Iannettoni
Aug 17, 2000·Journal of the American College of Surgeons·J B HulscherJ J van Lanschot
Apr 13, 2001·Cancer·J J van LanschotH Obertop
May 8, 2001·World Journal of Surgery·M B OrringerM D Iannettoni
Jul 24, 2001·The Annals of Thoracic Surgery·J B HulscherJ J van Lanschot
Oct 31, 2001·Annals of Surgery·N Altorki, D Skinner
Jan 24, 2002·Journal of the American College of Surgeons·Johanna W van SandickHugo Obertop
Apr 16, 2002·British Journal of Cancer·J WaymanS M Griffin
Jun 7, 2002·Gut·W H AllumUNKNOWN British Association of Surgical Oncology
Jun 7, 2002·Lancet·UNKNOWN Medical Research Council Oesophageal Cancer Working Group
Nov 22, 2002·The New England Journal of Medicine·Jan B F HulscherJ Jan B van Lanschot
Nov 25, 2003·BMJ : British Medical Journal·Peter McCullochUNKNOWN British Oesophago-Gastric Cancer Group
Aug 3, 2004·The British Journal of Surgery·G G JamiesonP G Devitt
Oct 16, 2004·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·A G E M de BoerM A G Sprangers
Dec 1, 2004·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·R MetzgerA H Hölscher
Dec 29, 2004·The Annals of Thoracic Surgery·Justin B DimickMark B Orringer
Jun 2, 2005·The Surgical Clinics of North America·Jules Lin, Mark D Iannettoni
Jul 26, 2005·Journal of the American College of Surgeons·Alain SauvanetJean-Pierre Triboulet
Mar 1, 2006·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·E A GriffithsI M Welch
Mar 31, 2006·Journal of the American College of Surgeons·Giuseppe PortaleTom R DeMeester
Jul 11, 2006·The New England Journal of Medicine·David Cunningham MAGIC Trial Participants
Oct 13, 2006·Surgical Oncology Clinics of North America·Marcus FeithJ Rüdiger Siewert
Mar 3, 2007·The Lancet Oncology·Val GebskiUNKNOWN Australasian Gastro-Intestinal Trials Group
Apr 20, 2007·The British Journal of Surgery·A A Al-SariraD J Corless
May 29, 2007·The Annals of Thoracic Surgery·Paul D DiMusto, Mark B Orringer
Aug 25, 2007·Annals of Surgery·Mark B OrringerChristine L Lau
Jan 29, 2008·The Annals of Thoracic Surgery·Andrew C ChangJohn D Birkmeyer

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Citations

May 28, 2013·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Kfir Ben-DavidSteven N Hochwald
Nov 11, 2009·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Sandra C TomaszekDennis A Wigle
Jan 16, 2014·Indian Journal of Surgical Oncology·Shailesh PuntambekarSunil Reddy
Sep 25, 2009·Annals of Surgical Oncology·Ewout F W Courrech StaalJohanna W van Sandick
Oct 8, 2011·World Journal of Surgery·Claire L DonohoeJohn V Reynolds
Nov 19, 2015·The Annals of Thoracic Surgery·Jeffrey JavidfarMark F Berry
Jun 12, 2010·International Journal of Surgery·Mohd Lateef WaniIfat Irshad
Dec 6, 2011·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·E F W Courrech StaalJ W van Sandick
Mar 8, 2012·Annals of Surgery·Natalie S BlencoweJane M Blazeby

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Methods Mentioned

BETA
surgical resection
dissection

Software Mentioned

Instat
GraphPad
Graphpad Prism

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