Transthoracic versus transhiatal esophagectomy – influence on patient survival
Aim: To evaluate the survival of patients after surgery of the esophagus/cardia using the transthoracic and transhiatal methods. Material and methods : In the years 2007–2011, 102 patients were radically treated for cancer of the esophagus/cardia: 24 women and 78 men at the average age of 59.5. T...
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| Language: | English |
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Termedia Publishing House
2016-12-01
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| Series: | Gastroenterology Review |
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| Online Access: | https://www.termedia.pl/Transthoracic-versus-transhiatal-esophagectomy-influence-on-patient-survival,41,28910,1,1.html |
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| _version_ | 1841548356533354496 |
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| author | Mariusz Łochowski Barbara Łochowska Józef Kozak |
| author_facet | Mariusz Łochowski Barbara Łochowska Józef Kozak |
| author_sort | Mariusz Łochowski |
| collection | DOAJ |
| description | Aim: To evaluate the survival of patients after surgery of the esophagus/cardia using the transthoracic and transhiatal methods.
Material and methods : In the years 2007–2011, 102 patients were radically treated for cancer of the esophagus/cardia: 24 women and 78 men at the average age of 59.5. There were 38 transthoracic procedures and 64 transhiatal procedures. All patients had a conduit made from the stomach, led through lodges in the esophagus and combined with the stump of the esophagus in the neck following the Collard method. Two-pole lymphadenectomies were performed in all patients.
Results: Patients after transthoracic procedures had statistically more (p < 0.05) lymph nodes removed than patients after transhiatal procedures. The 5-year survival rates in transhiatal and transthoracic procedures did not statistically differ, being 8% and 0% respectively. The length of patient survival was influenced by metastases in the nearby lymph nodes (p < 0.0001) and the presence of adenocarcinoma.
Conclusions : Surgical access (transhiatal and transthoracic surgery) does not affect the 5-year survival rates. Transhiatal surgery allows a greater number of lymph nodes to be removed. The main factor influencing the 5-year survival rate is the presence of metastases in the nearby lymph nodes. |
| format | Article |
| id | doaj-art-ec30084c53174f37bcc84fdca73cacf3 |
| institution | Kabale University |
| issn | 1895-5770 1897-4317 |
| language | English |
| publishDate | 2016-12-01 |
| publisher | Termedia Publishing House |
| record_format | Article |
| series | Gastroenterology Review |
| spelling | doaj-art-ec30084c53174f37bcc84fdca73cacf32025-01-10T14:06:16ZengTermedia Publishing HouseGastroenterology Review1895-57701897-43172016-12-0112211812110.5114/pg.2016.6460928910Transthoracic versus transhiatal esophagectomy – influence on patient survivalMariusz ŁochowskiBarbara ŁochowskaJózef KozakAim: To evaluate the survival of patients after surgery of the esophagus/cardia using the transthoracic and transhiatal methods. Material and methods : In the years 2007–2011, 102 patients were radically treated for cancer of the esophagus/cardia: 24 women and 78 men at the average age of 59.5. There were 38 transthoracic procedures and 64 transhiatal procedures. All patients had a conduit made from the stomach, led through lodges in the esophagus and combined with the stump of the esophagus in the neck following the Collard method. Two-pole lymphadenectomies were performed in all patients. Results: Patients after transthoracic procedures had statistically more (p < 0.05) lymph nodes removed than patients after transhiatal procedures. The 5-year survival rates in transhiatal and transthoracic procedures did not statistically differ, being 8% and 0% respectively. The length of patient survival was influenced by metastases in the nearby lymph nodes (p < 0.0001) and the presence of adenocarcinoma. Conclusions : Surgical access (transhiatal and transthoracic surgery) does not affect the 5-year survival rates. Transhiatal surgery allows a greater number of lymph nodes to be removed. The main factor influencing the 5-year survival rate is the presence of metastases in the nearby lymph nodes.https://www.termedia.pl/Transthoracic-versus-transhiatal-esophagectomy-influence-on-patient-survival,41,28910,1,1.htmlcancer of esophagus transthoracic surgery transhiatal surgery survival length |
| spellingShingle | Mariusz Łochowski Barbara Łochowska Józef Kozak Transthoracic versus transhiatal esophagectomy – influence on patient survival Gastroenterology Review cancer of esophagus transthoracic surgery transhiatal surgery survival length |
| title | Transthoracic versus transhiatal esophagectomy – influence on patient survival |
| title_full | Transthoracic versus transhiatal esophagectomy – influence on patient survival |
| title_fullStr | Transthoracic versus transhiatal esophagectomy – influence on patient survival |
| title_full_unstemmed | Transthoracic versus transhiatal esophagectomy – influence on patient survival |
| title_short | Transthoracic versus transhiatal esophagectomy – influence on patient survival |
| title_sort | transthoracic versus transhiatal esophagectomy influence on patient survival |
| topic | cancer of esophagus transthoracic surgery transhiatal surgery survival length |
| url | https://www.termedia.pl/Transthoracic-versus-transhiatal-esophagectomy-influence-on-patient-survival,41,28910,1,1.html |
| work_keys_str_mv | AT mariuszłochowski transthoracicversustranshiatalesophagectomyinfluenceonpatientsurvival AT barbarałochowska transthoracicversustranshiatalesophagectomyinfluenceonpatientsurvival AT jozefkozak transthoracicversustranshiatalesophagectomyinfluenceonpatientsurvival |