The surgical management and outcome of oesophageal cancer in Khartoum.
One hundred and one patients with oesophageal cancer seen at a surgical firm in Khartoum were studied retrospectively. An increase in the relative frequency of the disease is noted (4.6%). Sixty-nine patients (69%) were explored and 61 (87%) of them had resection (all had locally invasive tumours). All had an Ivor Lewis type of resection using a stomach tube through the right side of the chest. The postoperative mortality after 30 days was 27.8% (n = 17) which dropped to 14% towards the end of the series (one death in 7 cases). The commonest cause of death in the surgical group was failure to recover fully from anaesthesia (n = 5). In 30 patients who could be traced for a minimum period of 12 months, 18 patients (64%) survived for 1 year and 12 patients for 2 years. Fifteen patients have been on follow-up for less than 12 months and all are doing well; 16 patients could not be traced.
Ahmed
M E
ME
Department of Surgery, University of Khartoum, Sudan.
D000293:Adolescent; D000328:Adult; D000368:Aged; D004938:Esophageal Neoplasms / Q000401:mortality / Q000601:surgery*; D004947:Esophagus / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013397:Sudan / Q000453:epidemiology; D015996:Survival Rate; D016896:Treatment Outcome