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Esophageal Carcinoma: An Aggressive Approach
- Source :
- The Annals of Thoracic Surgery. 28:133-138
- Publication Year :
- 1979
- Publisher :
- Elsevier BV, 1979.
-
Abstract
- During a 3-year period, 45 patients with esophageal carcinoma (18 of the lower and 27 of the middle third) underwent esophagectomy and esophagogastrostomy. All patients were considered to be in Stage I and Stage II preoperatively, but at the time of operation, 66% were found to have Stage III disease. All patients underwent mobilization of the stomach through a laparotomy, and resection of the esophagus and reconstruction of the continuity of the gastrointestinal tract through a separate right lateral thoracotomy incision. Following operation, 22 patients (10, Stage I and II and 12, Stage III) received no radiotherapy and 23 patients (5, Stage I and II and 18, Stage III) received radiotherapy. Two patients died in the immediate postoperative period, for a surgical mortality of 4.8%. Because of the acceptable survival and enhancement of quality of life, esophagectomy and esophagogastrostomy should be offered not only to Stage I and II patients with esophageal carcinoma but also to selected patients with Stage III disease and those with lower and middle third esophageal lesions.
- Subjects :
- Adult
Male
Pulmonary and Respiratory Medicine
medicine.medical_specialty
Time Factors
Esophageal Neoplasms
medicine.medical_treatment
Esophagus
Quality of life
Laparotomy
medicine
Carcinoma
Humans
Stage (cooking)
Aged
business.industry
Stomach
Palliative Care
Middle Aged
medicine.disease
Surgery
Radiation therapy
medicine.anatomical_structure
Esophagectomy
Carcinoma, Squamous Cell
Quality of Life
Female
Cardiology and Cardiovascular Medicine
business
Follow-Up Studies
Subjects
Details
- ISSN :
- 00034975
- Volume :
- 28
- Database :
- OpenAIRE
- Journal :
- The Annals of Thoracic Surgery
- Accession number :
- edsair.doi.dedup.....35abb61644e2f088c6425ddc8e0bb070
- Full Text :
- https://doi.org/10.1016/s0003-4975(10)63770-8