Clinical Evaluation of Esophageal Cancer.
- Author:
Ki Sung PARK
1
;
Chang Kwon PARK
;
Sae Yong CHOI
;
Kwang Sook LEE
;
Young Sun YOO
;
Dong Yoon KUM
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Keimyung University, School of Medicine, Taegu, Korea.
- Publication Type:Original Article
- Keywords:
Esophageal neoplasm
- MeSH:
Adenocarcinoma;
Anastomotic Leak;
Carcinoma, Squamous Cell;
Chest Pain;
Constriction, Pathologic;
Esophageal Neoplasms*;
Esophagus;
Follow-Up Studies;
Humans;
Mortality;
Pneumothorax;
Postoperative Complications;
Retrospective Studies;
Survival Rate;
Vocal Cord Paralysis;
Wound Infection
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
1998;31(2):149-154
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We retrospectively analyzed 54 patients with esophageal cancer treated surgically between 1992 and 1996. They composed of 51(94.4%)men, 3(5.6%)women, and the age ranged from 42 to 78, the mean was 58.7+/-8.37. Symptoms were varied with dysphagia(72.2%), epigastric discomfort(16.6%), chest pain (5.6%), and so on(5.6%). Transthoracic esophagectomy(TTE) with esophagogastrostomy was done in 36 case, TTE with esophagocologastrostomy in 4 case, and transhiatal esophagectomy(THE) with esophagogastrostomy in 14 case. The operative mortality was 12.9%(7/54); 6 underwent TTE with esophagogastrostomy, and 1 underwent TTE with esophagocologastrostomy. Postoperative complications were of anastomotic leakage in 7 case, wound infection in 10 case, anastomotic stricture in 9 case, vocal cord paralysis in 2 case, bronchial tearing in 1 case, and pneumothorax in 3 case. Locations of esophageal cancer were upper thoracic esophagus in 4 case, middle thoracic esophagus in 34 case and lower thoracic esophagus in 16 case. Histological types were adenocarcinoma in 1 case and squamous cell carcinoma in 53 case. During the follow-up period, 25 cases died. Cumulative survival rate was 52.7% in 1 year, 45.5% in 2 year, 45.5% in 3 year, 45.5% in 4 year, 45.5% in 5 year.
