Video-assisted transhiatal esophagectomy in the treatment of esophageal and cardia adenocarcinomas
Journal Title: Postępy Nauk Medycznych - Year 2011, Vol 24, Issue 1
Abstract
Introduction. Poor outcome and low survival rate of patients suffering from adenocarcinoma of the esophagus and cardia both lead for new treatment techniques development. Transhiatal video-assisted esophagectomy (TVE) is one of them.Material and methods. Retrospective analisys of 87 patients treated with TVE between 1994 and 2010 year was performed. The study group included: 72 (82.76%) males and 15 (17.24%) females. Average age of patients was 60.5 ± 8.9 (40-80).Results. Mean operative time was 5.08 ± 1.21 h. The average size of tumor was 4.5 ± 2.04 cm. Esophagus substitute was performed mainly from the stomach 73.56% (n = 48). Most frequent substitute position was posterior mediastinum 78.16% (n = 68). Hospital stay after following surgery was 22.14 ± 19.03 (12-87) days. Postoperative complications occurred in 51.72% (n = 45) patients. Relaparotomy was required in 16.09% (n = 14). Mortality rate was 10.34% (n = 9). Average hospital stay was 33.93 ± 22.7 days. Conclusions. Transhiatal video-assisted esophagectomy is a useful method of surgical treatment of adenocarcinoma of the esophagus.
Authors and Affiliations
Adam Lewiński, Daria Juraszek, Aleksandra Hładoń, Andrzej Lekstan, Marek Olakowski, Paweł Lampe
Keywords
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