[Surgical treatment of esophageal carcinoma with cervical esophagogastrostomy by left thoracic esophagectomy].
OBJECTIVE
To evaluate the effects of surgical treatment with cervical esophagogastrostomy by left thoracic esophagectomy on esophageal carcinoma.


METHODS
The clinical data of 3169 patients with esophageal carcinoma, 2115 males and 1054 females, aged 60.9 (30-82), that underwent cervical esophagogastrostomy by left thoracic esophagectomy from Jan. 1990 to Dec. 2000 were analyzed retrospectively.


RESULTS
The incidence of complication was 8.6% (273). The operative mortality was 0.6% (19). The 1, 3, and 5 year survival rates were 81.5%, 51.6%, and 32.1% respectively. Manometric examination of the digestive tract showed that the post-operative resting pressure of residual esophagus above the anastomotic stoma was (16+/-11 mm Hg), significantly higher than that of the cervical esophagus of the normal controls [(4+/-3) mm Hg), P<0.01].


CONCLUSIONS
Reducing incidence of gastroesophageal reflux and improving the quality of life of patients, cervical anastomosis should be recommended as the first choice procedure in treatment of upper and middle segment esophageal carcinoma.
Chen
Ming-yao
MY
Department of Thoracic Surgery, Henan Cancer Hospital, Zhengzhou 450003, China.
Gao
Zong-ren
ZR
Xu
Jin-liang
JL
Wu
Sen
S
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000714:Anastomosis, Surgical; D004938:Esophageal Neoplasms / Q000601:surgery*; D016629:Esophagectomy / Q000379:methods*; D004947:Esophagus / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D013270:Stomach / Q000601:surgery; D016896:Treatment Outcome