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Oesophagectomy without thoracotomy: first 250 patients
1Department of Surgery, Postgraduate Institute of Medical, Education and Research, Chandigarh, India.
The European Journal of Surgery = Acta Chirurgica
|June 1, 1996
Summary
Transhiatal oesophagectomy is a safe procedure for esophageal cancer, with a 6% mortality rate. Careful technique minimizes complications, offering a viable treatment option for patients.
Area of Science:
- Surgical Oncology
- Gastrointestinal Surgery
- Esophageal Cancer Treatment
Background:
- Esophageal carcinoma presents significant treatment challenges.
- Transhiatal oesophagectomy is a surgical approach for esophageal cancer.
- Evaluating surgical outcomes is crucial for patient management.
Purpose of the Study:
- To assess the morbidity, mortality, and cure rates associated with transhiatal oesophagectomy.
- To determine the safety and efficacy of this surgical technique for esophageal cancer.
Main Methods:
- A prospective audit was conducted.
- The study included 250 consecutive patients undergoing transhiatal oesophagectomy.
- Data collected focused on morbidity, mortality, and survival rates.
Main Results:
- The overall mortality rate was 6% (14/250).
- Common complications included anastomotic leak (15%) and stenosis (18%).
- One-year and five-year actuarial survival rates were 45% and 5%, respectively.
Conclusions:
- Transhiatal oesophagectomy is a safe and well-tolerated procedure for esophageal cancer.
- Key advantages include avoidance of thoracotomy and shorter operating times.
- Careful surgical technique is essential for optimal patient outcomes.