[Evaluation of 26 esophagectomies from the aspects of complications and survival time].
The authors analyze a group of 26 patients with oesophageal carcinoma operated in the course of five years with regard to postoperative complications and period of survival. In seven instances they used Ivor-Lewis operation, 17 times Orringer's operation, twice a palliative retrosternal bypass. Twenty one times they used the stomach for replacement of the oesophagus, five times the left hemicolon antiperoristaltically. The preoperative ASA classification was on average 3. The moribidity was 74%. Respiratory complications were most frequent--18x, paresis of the left vocal cord--7x, a fistula in the anastomosis--5x. The hospital mortality was 27%, its causes being cardiac failure, MOF, fistulae in the anastomosis. In seven instances the authors performed tracheostomy. Of 19 surviving patients 13 died after an average period of 10 months. Six patients survive on an average for 11 months.
Chlapík
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Chirurgické oddelenie, NsP Trencín, Slovenská republika.
Gasa
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D000328:Adult; D000368:Aged; D002277:Carcinoma / Q000401:mortality / Q000601:surgery*; D004938:Esophageal Neoplasms / Q000401:mortality / Q000601:surgery*; D016629:Esophagectomy / Q000009:adverse effects* / Q000401:mortality; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010166:Palliative Care; D011183:Postoperative Complications; D015996:Survival Rate
Zhodnotenie 26 ezofagektómií z hĺadiska komplikácií a dĺzky prezívania.