Our results in surgical treatment of the esophageal cancers
Yazarlar (1)
Prof. Dr. Mehmet Altan KURNAZ Kastamonu Üniversitesi, Türkiye
| Makale Türü |
Özgün Makale
(Uluslararası alan indekslerindeki dergilerde yayınlanan tam makale)
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| Dergi Adı | Journal of Surgical Arts | ||
| Makale Dili | – | Basım Tarihi | 01-2008 |
| Cilt / Sayı / Sayfa | 1 / 1 / 1–13 | DOI | – |
| Makale Linki | https://dergipark.org.tr/en/pub/jsa/article/390135 | ||
| UAK Araştırma Alanları |
Fen Bilgisi Eğitimi
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| Özet |
| Background We reported the surgical outcome of 86 cases with esophageal cancer that we performed surgery in a period of 9 years. Methods We operated eighty-seven cases with esophageal cancer at Yüzüncü Yıl University, School of Medicine, Department of Thoracic Surgery between June 1996 and June 2005 (47 female and 39 male patients). Median age was 51 (range, 25 to 81 years old) years old. The localization of the tumors were pharyngoesophageal junction in 1 case, middle thoracic esopha-gus in 25 cases, lower thoracic esophagus and cardia in 59 cases, and multicentric in 1 case. A surgical approach was performed through laparotomy and right thoracotomy in 53 ca-ses, right thoracotomy plus laparotomy and servical incision in 16 cases, transhiatal in 3 cases, and right thoracotomy in 8 cases and laparotomy in 6 cases. Results Resection was performed in 72 cases. There was not peroperative mortality. In postoperative period, 17 patients died because of leakage of anastomosis (5) and cardiopulmonary complications (12). In pathological staging 26 patients were stage IIa, 8 patients were stage IIb, 43 patients were stage III and 9 patients were stage IV. As we pay attention the fol-low-up 8 alive and 13 deceased patients, the survival time changes between 2 months- 6 years and 8 months. Mean time was 33.4 months. Five years survival rate was 12% in stage IIa. Conclusions In esophagus carcinoma, the most effective treatment is surgery both for curative or palliative intention. But survival rate of high stage patients is poor. Adjuvant therapy is needed. |
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