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TRANSHIATAL ESOPHAGECTOMY FOR CARCINOMA OF THE THORACIC ESOPHAGUS


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Title: TRANSHIATAL ESOPHAGECTOMY FOR CARCINOMA OF THE THORACIC ESOPHAGUS
Authors: Ayabe, Hiroyoshi / Tsuji, Hiroharu / Hara, Shinsuke / Tagawa, Yutaka / Kawahara, Katsunobu / Tomita, Masao
Issue Date: 25-Dec-1992
Citation: Acta Medica Nagasakiensia. 1992, 37(1-4), p.106-109
Abstract: One-hundred and seventy-two patients underwent esophageal resection for thoracic esophageal carcinoma in the First Department of Surgery of Nagasaki University Hospital between 1969 and December 1991. Among them, 12 patients (7.0%) had transhiatal esophagectomy without thoracotomy. There were nine men and three women with a mean age of 69.3 years (range, 57-80). Three patients had tumors located in the upper third of thoracic esophagus ; 4, in the middle third and 5, in the lower third. The reasons for performing of this type of operation were older ages in 6 patients, cardiovascular disease in 4 and poor pulmonary function in 2. There were a pathological Stage I esophageal cancer in 3 patients, Stage II A in 4, Stage II B in 4 and Stage III in one. Nine patients had curativer resection, but 3 had non-curative operation because of residual tumor in tracheal wall, positive devided esphageal margin or extended lymph node metastasis. Postoperative complications occurred in 6 patients (50%). However, there were no operative deaths and hospital deaths in 12 patients. Seven patients died at 2, 5, 8, 13, 18, 26, and 57 months after operation. Two patients survived more than two years died of pneumonia without cancer recurrences. The remaining 5 are now alive without diseases at 15, 18, 57, 60 and 96 months after esophagectomy. Transhiatal esophagectomy for the thoracic esophageal carcinoma may be useful for the patients with the adversed factors for operation.
Keywords: esopageal cancer / transhiatal esophagectomy / blunt esophagectomy / thoracic esophagus
URI: http://hdl.handle.net/10069/17568
ISSN: 00016055
Type: Departmental Bulletin Paper
Text Version: publisher
Appears in Collections:Volume 37, No. 1-4

Citable URI : http://hdl.handle.net/10069/17568

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