Scientific publications
Esophagectomy for esophageal cancer excluding cardial involvement. Analysis of 40 cases. Scientific Publication
Hernández Lizoáin JL, Zornoza G, Chamorro A, Ahenke A, Albiach M, Voltas J.
ABSTRACT
This is a study of esophageal resection for cancer of the esophagus in 40 patients, 34 of which were diagnosed as squamous carcinoma and 6 as adenocarcinoma excluding the cardias, tumor localization includes cervical esophagus in one case and all the rest in the thoracic esophagus, 2 in the proximal third, 25 in the middle third and 12 in the distal third.
With regard to surgical approach, 11 were treated with total esophagectomy (7 Akiyama, 4 transhiatal resection) and of the 29 treated, of subtotal esophagectomy, 24 were according to the Lewis technique and 5 through a left-sided thoracotomy. Reconstruction was done with stomach in 33 cases six with colon and one with jejunum. Complications were detected in 52.5% the patients with pleuro-pulmonary being the most frequent, anastomotic dehiscence occurred in 5 cases (4 of which were chose manually).
The operative mortality rate was 5% and the actuarial survival at 5 years was at 28.4%.
CITATION Rev Med Univ Navarra. 1989 Jul-Sep;33(3):155-60