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Surgery alone in the curative treatment of localised oesophageal carcinoma
C Mariette1, G Piessen, J M Balon
1Service de chirurgie digestive et générale Hôpital Claude Huriez, Centre Hospitalier Régional Universitaire, Place de Verdun, 59037 Lille cedex, France. c-mariette@chru-lille.fr
Aim:
To document the results of surgery alone in patients with localised oesophageal carcinoma.
Methods:
Between January 1982 and 2002, 179 consecutive patients who underwent curative oesophagectomy for stage 0, I or II oesophageal carcinoma, without neo-adjuvant treatment, were analysed retrospectively.
Results:
Postoperative mortality and morbidity rates were 2.8 and 30.7%, respectively. The overall actuarial survival rate at 5 years was 59%. No patients with more than four invaded lymph nodes survived 5 years. A lymph node ratio more than 0.2, more than four invaded lymph nodes and an advanced pTNM stage were predictors of poor prognosis.
Conclusion:
Long-term survival after surgery alone for localised oesophageal carcinoma can be achieved in some 2/3rds of patients. These results should be considered before designing neo-adjuvant therapeutic regimen or embarking into exclusive treatment alternate to oesophagectomy.
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