Abstract | OBJECTIVE: METHODS: RESULTS: One hundred sixty-six patients underwent transthoracic esophagectomy and 50 patients underwent transhiatal esophagectomy. The overall hospital mortality and postoperative complication rates were 9.7 and 49%, respectively. The amount of intra-operative blood loss or transfusion, postoperative complication rate, lengths of hospital stay and hospital mortality rate were not significantly different between both groups. However, shorter operative time was noticed in transhiatal group (p<0.001). The overall 5-year survival rate was 16.8%. ESCC patients underwent either transthoracic or transhiatal esophagectomy had comparable long-term survival. The pTNM stage was independent prognostic factor for patients underwent transthoracic esophagectomy. However, location of tumor (p=0.009) and pathologic tumor length (p=0.012) were predictors of prognosis for patients underwent transhiatal esophagectomy. CONCLUSIONS:
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Authors | Yih-Gang Goan, Huang-Chou Chang, Hon-Ki Hsu, Yi-Pin Chou |
Journal | European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery
(Eur J Cardiothorac Surg)
Vol. 31
Issue 3
Pg. 536-44
(Mar 2007)
ISSN: 1010-7940 [Print] Germany |
PMID | 17222561
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Topics |
- Adult
- Aged
- Aged, 80 and over
- Carcinoma, Squamous Cell
(mortality, pathology, surgery)
- Cause of Death
- Epidemiologic Methods
- Esophageal Neoplasms
(mortality, pathology, surgery)
- Esophagectomy
(methods, mortality)
- Female
- Forced Expiratory Volume
- Humans
- Length of Stay
- Male
- Medical Audit
- Middle Aged
- Neoplasm Invasiveness
- Neoplasm Staging
- Prognosis
- Treatment Outcome
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