[Esophageal surgery in the regional hospital].

Abstract

In a small series of surgically treated patients with esophageal cancer (n = 22) modern trends are observed, namely--the frequent occurrence of adenocarcinoma (50% of cases) and of early stage (pT1) (36% of cases),--a low operative mortality (5%),--favorable oncological results for tumors not penetrating the esophageal wall (pT1, 2)(64% of patients at life without recurrence 2-7 1/2 years after surgery). For curative or palliative resection of distal tumors the abdomino-cervical (transhiatal) resection was favored (n = 17) with no instance of anastomotic insufficiency and with 2 cases only of locoregional recurrence. In a case of spontaneous esophageal perforation (Boerhaave) primary suture through an abdomino-transhiatal approach was successful. The interdisciplinary intensive care, necessary in surgery of the esophagus, may be of a high standard in the district hospital.

• Authors: E Gemsenjäger, P Guyer, H P Weisflog, M Stäubli, P Siegrist
• Journal: Praxis (Praxis (Bern 1994)) Vol. 87 Issue 39 Pg. 1241-7 (Sep 23 1998) ISSN: 1661-8157 [Print] Switzerland
• Vernacular Title: Osophaguschirurgie am Regionalspital.
• PMID: 9793414 (Publication Type: Case Reports, English Abstract, Journal Article)

Topics

• Adenocarcinoma (mortality, pathology, surgery)
• Aged
• Aged, 80 and over
• Carcinoma, Squamous Cell (mortality, pathology, surgery)
• Esophageal Diseases (mortality, pathology, surgery)
• Esophageal Neoplasms (mortality, pathology, surgery)
• Female
• Hospitals, District
• Humans
• Male
• Middle Aged
• Neoplasm Staging
• Patient Care Team
• Postoperative Complications (etiology, mortality)
• Rupture
• Survival Rate
• Switzerland
• Treatment Outcome