Outcome after transthoracic resection of carcinoma of the oesophagus and oesophago-gastric junction

To assess the postoperative morbidity and mortality, length of stay and long-term survival after resection of carcinoma of the oesophagus and gastro-oesophageal junction, after establishment of a new surgical team unit between thoracic and gastroenterologic surgeons. We analysed the prospective coll...

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Bibliographic Details
Published inScandinavian journal of surgery Vol. 94; no. 3; p. 191
Main Authors Jensen, L S, Pilegaard, H K, Puho, E, Pahle, E, Melsen, N C
Format Journal Article
LanguageEnglish
Published England 2005
Subjects
Adenocarcinoma - epidemiology
Adenocarcinoma - mortality
Adult
Aged
Aged, 80 and over
Carcinoma, Squamous Cell - epidemiology
Carcinoma, Squamous Cell - mortality
Esophageal Neoplasms - epidemiology
Esophageal Neoplasms - mortality
Esophagectomy - mortality
Esophagogastric Junction
Female
Humans
Length of Stay
Male
Middle Aged
Survival Analysis
Thoracic Surgical Procedures - mortality
Treatment Outcome
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Summary:To assess the postoperative morbidity and mortality, length of stay and long-term survival after resection of carcinoma of the oesophagus and gastro-oesophageal junction, after establishment of a new surgical team unit between thoracic and gastroenterologic surgeons. We analysed the prospective collected data of 166 consecutive patients who underwent a transthoracic oesophageal resection between June 1997 and December 2003. There were 119 men and 47 women. The median age was 63 years (range 36-81). Fifty-five patients (33%) had squamous cell carcinoma and 111 (67%) had adenocarcinoma. Postoperative complications occurred in a total of 60 patients (36%). Ten patients (6%) died postoperatively, eight (4.8%) due to medical and two (1.2 %) due to surgical complications. The median postoperative length of stay was 11 days (range 6-75). The overall 3- and 5- years survival was 35.6% and 30.6% respectively. Survival was adversely affected by patient age and tumor stage. Concentrating resection for carcinoma of the oesophagus and oesophagogastric junction to a dedicated team of specialists, including both gastrointestinal and thoracic surgeons as well as thoracic-anaesthesiological know-how, results in acceptable complication rates as well as low mortality rates especially due to surgical complications.
ISSN:1457-4969