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Simultaneous Combined Resection of Adjacent Involved Organs for Carcinoma of Thoracic Esophagus


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Title: Simultaneous Combined Resection of Adjacent Involved Organs for Carcinoma of Thoracic Esophagus
Authors: Tomita, Masao / Ayabe, Hiroyoshi / Kawahara, Katsunobu / Akoskin, Santiago
Issue Date: 14-Dec-1990
Citation: Acta medica Nagasakiensia. 1990, 35(1-4), p.43-47
Abstract: Ten patients with simultaneous combined resection of tumor-bearing esophagus with the trachea and/or the aorta were clinically evaluated in terms of its application and indication on the basis of a result of our clinical experience. 1) All the patients were in advanced disease stages with far extending nodal involvement. 2) Cancer recurrence at bronchial anastomosis occurred in one year after surgery. It is warned that the extent of a resection should be sufficient. 3) The circumferential resection of the aortic wall and replacement with artificial vascular graft were made with the aid of temporary bypass constructed in the same operation field of esophagectomy. However, there was no experience with grave complications such as postoperative infection. 4) The surgical outcome is not satisfactory but the necessity of proper early cares is required for keeping away from an operative death. In addition, multimodality adjuvant therapy is needed for avoidance of distant metastases.
URI: http://hdl.handle.net/10069/15810
ISSN: 00016055
Type: Departmental Bulletin Paper
Text Version: publisher
Appears in Collections:Volume 35, No. 1-4

Citable URI : http://hdl.handle.net/10069/15810

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