The records of 67 patients who had been operated as an esophageal cancer during the penod from 1973 to 1989 at the Department of Thoracic and Crdiovascular Surgery, Hanyang University Hospital were reviewed retrospectively. The results were summarized as follows ;
The age ranged from 28 years old to 80 years old. The highest incidence was 5th decades, then 6th decades, and the incidence of male was 10 times as the incidence of female (M : F= 10.16:1).
The locations were lower exsophagus 44%,_ middle esophagus 38.8%, upper esophagus 1 1.9% and cervical esophagus 4.4%.
The frequent symtoms were dysphagia (88%), epigastric or substemal pain and discomfort (29.8%), weight loss (20.8%), and laryngeal dryness (1.4%).
The most common interval between the onset of dysphagia and admission was 2-3 months, 82% of patients was within 6 months.
The cancer consisted of stage I (3%), stageII (11.9%), stage III(47.650), and stage IV (33.7%).
The ressectability of cancer was 67%.
The organs of substitute were stomach in 21 cases, right colon 6 cases, and jejunum in 8 cases.
The relation between invasion of tumor and lymph node metastasis was analyzed : mucosal involvement. 1 case / 2case, muscle invasion; 0 / 2 full thickne ss; 4 / 6, adjacent structure 7/12.
Postoperative complications were pneumonia, pleural effusion, hoarseness, mediastinitis, anastomosis site leakage, reoperation due to stenosis, chylothorax, empyema, mechanical ileus, wound infection, meat impaction at anastomosis site, and repair of gastrostomy site leakage.
Adjuvant therapies were irradiation (15cases ), chemotherpy (14cases ). and Bougie dilatation (4 cases).
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