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Esophagogastrectomy: a consecutive single-center series.
- Source :
-
Hepato-gastroenterology [Hepatogastroenterology] 1992 Dec; Vol. 39 (6), pp. 515-9. - Publication Year :
- 1992
-
Abstract
- We present a 7-year consecutive, nonselected, single-center series of patients (n = 140) submitted to surgery for esophageal or upper gastric malignancy. Follow-up data are complete for 96.4% of patients. Of 114 intrathoracic anastomoses, 74 (65%) were esophagogastric and 40 (35%) were esophagojejunal. Unresectable lesions were present in 26 (19%) patients. Age (mean +/- sd 64.6 +/- 11.1 years), and sex distribution were similar in all groups, while 36% of patients were over 70 years. There was no significant difference in the time from the onset of symptoms to presentation between the groups (p < 0.05). The values of admission hemoglobin, serum albumin, PaO2 or peak expiratory flow rate did not correlate with survival. There was no significant difference in 30-day operative mortality between the three procedures - esophagectomy 5%, thoraco-abdominal gastrectomy 10.8% and unresectable 11.5% (p > 0.05). The incidence of respiratory complications was the same whether a right (30%) or left (35%) thoracotomy was performed. Some 33% of patients were discharged from hospital after 14 days and 72% after 21 days (12.9% died in hospital). One-year survival was 33.4% for esophagectomy, 37.5% for total gastrectomy and 6% for unresectable lesions. The esophagectomy versus total gastrectomy survival curves were not significantly different, but there was a significant survival advantage when patients undergoing esophagectomy were compared with those who had unresectable tumors (0.02 > p > 0.01).(ABSTRACT TRUNCATED AT 250 WORDS)
- Subjects :
- Adenocarcinoma mortality
Adenocarcinoma surgery
Adult
Aged
Carcinoma, Squamous Cell mortality
Carcinoma, Squamous Cell surgery
Esophageal Neoplasms mortality
Female
Humans
London epidemiology
Male
Middle Aged
Postoperative Complications
Retrospective Studies
Stomach Neoplasms mortality
Survival Rate
Treatment Outcome
Esophageal Neoplasms surgery
Esophagectomy
Gastrectomy
Stomach Neoplasms surgery
Subjects
Details
- Language :
- English
- ISSN :
- 0172-6390
- Volume :
- 39
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Hepato-gastroenterology
- Publication Type :
- Academic Journal
- Accession number :
- 1483663