Twenty nine adult patients underwent surgical esohpagectomy and one, bypass procedure for documented carcinoma of esophagus and cadiao portion of stomach at Chonnam National University Hospital from Jan. 1986 to April 1991. There were several
kinds
of
esophagectomies including through transhiatal, left thoracotomy only, laparotomy and thoracotomy, and laparotomy and right thoracotomy and cervical incision. Twenty five and squamous cell carcinoma and 5, adenocarcinoma. The tumor locations were
the
upper third in 3, middle third in 12, lower third in 10 and cardiac portion of stomach in 5. After operation, 8(27%) patients were classified in Stage IIa, 6(20%) patients, in Stage II b, 15 patients(50%) in Stage III and one patient in Stage IV.
Major
postoperative complications included anastomotic narrowing in 3, limited suture line leak in 2, wound infection in 2, hoareseness in 2, pseudomembraneous enterocolitis in 1 and herpes zoster in 1. There were no death within 30 days of operation.
Ten
months survival was 100% for patients with Stage IIa, 67% for patients with Stage II b, 50% for patients with Stage III. Furthermore, 20 months survival was 75% in IIIa, 33% in II b, and 40% in III. But there were no significant differences in
survivals
among the stage. The actuarial survival is 58% at one year and 41% at two years. The periods of average survival is 589 days after operation.
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