Transhiatal Esophagectomy in Cardia and Esophageal Cancer
Journal of the Korean Gastric Cancer Association
; : 1-9, 2005.
Article
in Korean
| WPRIM (Western Pacific)
| ID: wpr-157365
Responsible library:
WPRO
ABSTRACT
PURPOSE:
The debate is still on-going as to whether a transthoracic esophagectomy (TTE) or a transhiatal esophagectomy (THE) is the proper treatment for patients with cardia and esophageal cancers. This study tries to demonstrate and assess the efficacy and the validity of both surgeries. MATERIALS ANDMETHODS:
In a retrospective study, data from 52 cases of patients with esophageal and/or cardia cancer who received a surgical operation during the last decade were analyzed.RESULTS:
A TTE was done in 20 cases and a THE in 32 cases. The average times for the operations were 558.0 min for a TTE and 451.7 min for a THE (P>0.05). The estimated blood loss was 1,825.0 ml in a TTE and 1459.4 ml in a THE (P>0.05). The amounts of transfusion during the operations were 3.9 units in a TTE and 2.6 units in a THE (P0.05).CONCLUSION:
For most factors, including morbidity and mortality, there was no statistically significant difference between a TTE and a THE. However, a THE is expected to be more convenient, leading to a shorter operative duration, a shorter post-operative hospitalization and lesser amounts of hemorrhage and transfusion. Hence, the THE may be a more valid or efficient surgical method for those patients with cardia and esophagus cancer who require a resection of the esophagus.
Full text:
Available
Health context:
SDG3 - Target 3.4 Reduce premature mortality due to noncommunicable diseases
Health problem:
Digestive System Diseases
/
Esophagus Cancer
Database:
WPRIM (Western Pacific)
Main subject:
Esophageal Neoplasms
/
Cardia
/
Survival Rate
/
Retrospective Studies
/
Mortality
/
Esophagectomy
/
Esophagus
/
Hemorrhage
/
Hospitalization
/
Length of Stay
Type of study:
Observational study
/
Prognostic study
Limits:
Humans
Language:
Korean
Journal:
Journal of the Korean Gastric Cancer Association
Year:
2005
Document type:
Article