Surgical treatment for cervicothoracic esophageal carcinoma with tracheal involvement / 中华耳鼻咽喉头颈外科杂志
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
;
(12): 31-34, 2014.
Artigo
em Chinês
| WPRIM
| ID: wpr-271605
ABSTRACT
<p><b>OBJECTIVE</b>To evaluate the surgical treatment and outcome of cervicothoracic esophageal carcinoma with tracheal.</p><p><b>METHODS</b>Ten cases of cervicothoracic esophageal carcinoma with tracheal invasion underwent surgical treatment between 2004 and 2011 was reviewed. Operative methods, complications, pathology, and prognosis were analyzed.</p><p><b>RESULTS</b>The patients were divided into 2 groups, 5 patients with cervical tracheal invasion group and 5 patients with cervicothoracic tracheal invasion. Thoracotomy and anterior mediastinal tracheostomy (AMT) were required for 5 patients with cervicothoracic tracheal invasion. The median follow-up was 23 months (ranging from 6 to 76 months). Of 5 patients with cervical tracheal invasion, 3 patients survived with free of disease for more than 5 years postoperatively, 1 patient died of local recurrence at 14 months postoperatively, and 1 patient died of cardiac infarction at 26 months postoperatively. Among 5 patients with cervicothoracic tracheal invasion, 2 patients died during hospitalization, and 1 patient died of local recurrence at 16 months postoperatively, and 2 patients died of distant metastasis at 6 and 20 months after surgery respectively.</p><p><b>CONCLUSIONS</b>Tracheal invasion is not a contraindication to radical operation for the cervicothoracic esophageal carcinoma. Surgical treatment has a good outcome in cervicothoracic esophageal carcinoma with only cervical tracheal invasion. If thoracic trachea is involved, especially when the length of the distal trachea is less than 5 cm, operation should be performed with caution.</p>
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Patologia
/
Cirurgia Geral
/
Traqueia
/
Neoplasias Esofágicas
/
Traqueostomia
/
Estudos Retrospectivos
/
Resultado do Tratamento
/
Neoplasias de Cabeça e Pescoço
/
Métodos
Tipo de estudo:
Estudo observacional
Limite:
Idoso
/
Feminino
/
Humanos
/
Masculino
Idioma:
Chinês
Revista:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
Ano de publicação:
2014
Tipo de documento:
Artigo
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