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Total esophagectomy without thoracotomy for cancer
D N Papachristou1, P Skandalakis, G Skalkeas
1Department of Surgery, University of Athens, Greece.
The American Surgeon
|October 1, 1987
Summary
Extrathoracic esophagectomy is a safe and effective procedure for hypopharyngeal and esophageal cancers. This surgical approach allows for rapid oral alimentation, even in advanced stages of the disease.
Area of Science:
- Oncology
- Surgical Oncology
- Gastroenterology
Background:
- Esophageal and hypopharyngeal cancers present significant treatment challenges.
- Traditional surgical approaches may involve extensive morbidity.
Purpose of the Study:
- To evaluate the safety and efficacy of total extrathoracic esophagectomy.
- To assess the feasibility of this procedure for palliative and curative intent in advanced malignancies.
Main Methods:
- 16 patients with thoracic/cervical esophageal or hypopharyngeal neoplasms underwent total extrathoracic esophagectomy.
- Posterior mediastinal gastric pull-up was utilized, with colon interposition for patients with prior gastrectomy.
- Splenectomy was intentionally avoided.
Main Results:
- The procedure was performed predominantly for palliation in TNM stage III and IV disease.
- Only two deaths occurred post-operatively.
- Patients experienced rapid initiation of oral alimentation.
Conclusions:
- Extrathoracic esophagectomy is a safe and simple alternative for managing hypopharyngeal and esophageal malignancies.
- It offers a viable palliative option with good functional outcomes, including early oral intake.