Perioperative treatment of elderly esophageal carcinoma patients
- Author:
Hai JIN
1
Author Information
1. Department of Cardiothoracic Surgery
- Publication Type:Journal Article
- Keywords:
Elder;
Esophageal neoplasms;
Intraperative period
- From:
Tumor
2007;27(8):669-671
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To discuss our experience in perioperative treatment of elderly patients (≥ 70 years old) with esophageal carcinoma. Methods: The clinical data from 155 patients with esophageal carcinoma over 70 years old were analyzed retrospectively, who received perioperative therapy from Jan 1990 to Jun 2005. The site of esophagogastric anastomosis was below aortic arch in 95 cases, above aortic arch in 27 cases, and at neck in 12 cases after resection via left thoracophrenolaparotomy. Twelve patients underwent resection through right thoracotomy with laparotomy and cervicotomy followed by cervical esophagogastric anastomosis. The exploratory operation was just performed in 9 patients. Results: There were 11 patients with postoperative complications and the occurrence rate of postoperative complication was 7.10%. Two patients died at early stage and the death rate was 1.29%. The 1- and 3- year survival rates were 40.5% and 25.5%, respectively. Conclusion: If the indications are mastered appropriately, the short-terni and long-term outcomes of extended esophagectomy on elderly patients are almost similar with that of conventional esophagectomy.
