[Results of surgical therapy of esophageal carcinoma in a general hospital].
From January 1987 until December 1994 103 patients were treated for esophageal cancer in our department. Operability was 77.7%, 75.7% were resected. Postoperative lethality was 9.0% within 30 days and 16.7% for the whole hospital stay. Concerning the resected patients 37.5% adenocarcinoma and 60.0% squamous cell carcinoma were found. The most common localisation of the tumor was the lower third of the esophagus (62.5%). 35.9% underwent an abdominothoracic resection whereas in 64.1% a transhiatal esophagectomy was carried out. The UICC-stage distribution was as follows: I 11.3%, IIa 10.0%, IIb 12.5%, III 40.0%, IV 26.3%. In 79.2% of the cases lymph node metastasis were already recognizable. The median survival time was 10 (3-72) months with better outcome for adenocarcinoma, lymph node negative patients and early tumor stages. Even if only palliation was the aim of the surgical procedure esophagectomy followed by collar esophagogastrostomy provides satisfying results to regain the ability to swallow.
Aleksic
M
M
Chirurgische Klinik, Krankenhaus Gerresheim, Kliniken, Stadt Düsseldorf.
Wolf
B
B
Ulrich
B
B
D000230:Adenocarcinoma / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002294:Carcinoma, Squamous Cell / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D002423:Cause of Death; D004938:Esophageal Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D016629:Esophagectomy; D005260:Female; D005500:Follow-Up Studies; D005858:Germany / Q000453:epidemiology; D017052:Hospital Mortality; D006769:Hospitals, General; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D008207:Lymphatic Metastasis; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D011183:Postoperative Complications / Q000209:etiology / Q000401:mortality; D015996:Survival Rate