Surgical treatment of oesophageal cancer: 10–year experiences.

ABSTRACT

Clinical data from 278 patients with oesophageal carcinoma admitted to Songklanagarind Hospital, Songkla, Thailand between February 1982 and December 1992 were analysed to evaluated the effects on survival of various tumours and surgical techniques. There were 217 males and 61 females, average age 62.4 years (range 30-85 years), mean length of tumour 5.8 cm. (range 5-13.5 cm.). 216 cases were squamous cell carcinoma 14 cases a denocarcinoma, and 7 cases others. There were 4 techniques for surgical resection 182 cases were operated on by modified Lewis-Tanner method, 40 cases by transmittal blunt resection, 29 cases by 3-stage technique and 27 cases by pharyngo-laryngo-oesophagectomy. Three-year, five-year, and ten-year survival rates from this report were 17.9%, 12.6% and 4.2% respectively. Respected patients stage 3 and 4, with albumin level equal to or less than 3 gm%, FEV1 equal to or less than 70% and anastomotic leakage were significantly associated with lower survival rates. No statistical significance among the techniques of surgical resection was noted.