SURGICAL APPROACHES IN OESOPHAGEAL CANCER
NİHAT GÜRKAN, YASEMİN ONARAN, SERDAR TEZELMAN, HAMDİ GÜNGEL, ORHAN ŞAŞMAZ
İstanbul Üniversitesi Tıp Fakültesi, Genel Cerrahi Anabilim Dalı, Çapa, İSTANBUL
Abstract
Morbidity, mortality and survival of 224 patients who underwent oesophagectomy for oesophageal cancer between 1979 and 1994 were evaluated. Mean age of 75 (33.5%) women and 149 (66.5%) men was found to be 56.4 years. Oesophagectomy was performed by transhiatal (n=175), transabdominal (n=28) and transthoracic (n=17) approaches. Cervical jejunal autograft was performed in 4 patients. The most frequent early postoperative complications were anastomotic leakage (10%) and pulmonary complications (23%). Mortality rate, most frequently due to acute respiratory insufficiency and mediastinitis, was 7.1%. The overall one, two and three year survival rates were 60%, 27% and 24% respectively.
Keywords: TRANSTHORACIC ESOPHAGECTOMY, TRANSABDOMINAL ESOPHAGECTOMY, PULMONARY COMPLICATIONS, ANASTOMOTIC LEAKAGE, SURVIVAL