title: [Esophagectomy for esophageal cancer excluding cardial involvement. Analysis of 40 cases].
abstract: This is a study of esophageal resection for cancer of the esophagus in 40 patients, 34 of which were diagnosed as squamous carcinoma and 6 as adenocarcinoma excluding the cardias, tumor localization includes cervical esophagus in one case and all the rest in the thoracic esophagus, 2 in the proximal third, 25 in the middle third and 12 in the distal third. With regard to surgical approach, 11 were treated with total esophagectomy (7 Akiyama, 4 transhiatal resection) and of the 29 treated, of subtotal esophagectomy, 24 were according to the Lewis technique and 5 through a left-sided thoracotomy. Reconstruction was done with stomach in 33 cases six with colon and one with jejunum. Complications were detected in 52.5% the patients with pleuro-pulmonary being the most frequent, anastomotic dehiscence occurred in 5 cases (4 of which were chose manually). The operative mortality rate was 5% and the actuarial survival at 5 years was at 28.4%.
authors.affiliation: Dpto de Cirugía General y Digestiva, Clínica Universitaria, Facultad de Medicina, Universidad de Navarra, Pamplona.
authors.forename: J L
authors.initials: JL
authors.lastname: Hernández Lizoáin
authors.forename: G
authors.initials: G
authors.lastname: Zornoza
authors.forename: A
authors.initials: A
authors.lastname: Chamorro
authors.forename: A
authors.initials: A
authors.lastname: Ahenke
authors.forename: M
authors.initials: M
authors.lastname: Albiach
authors.forename: J
authors.initials: J
authors.lastname: Voltas
mesh_terms: D000230:Adenocarcinoma / Q000401:mortality / Q000601:surgery*; D000328:Adult; D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000401:mortality / Q000601:surgery*; D004938:Esophageal Neoplasms / Q000401:mortality / Q000601:surgery*; D004947:Esophagus / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015996:Survival Rate
vernacular_title: Esofaguectomía por cáncer esofágico con exclusión de la localización cardial. Análisis de 40 casos.