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KMID : 0364019950280010090
Korean Journal of Thoracic and Cardiovascular Surgery
1995 Volume.28 No. 1 p.90 ~ p.95
Surgical Management of Esophageal Carcinoma After Esophageal Prosthesis
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Abstract
Effective relief of dysphagia in unresectable esophageal cancer patients not only prolong survival but also is prerequisite for other treatment modalities. We tried surgical resection in 4 patients who had unresectable esophageal cancer, managed
initially with esophageal prosthesis then followed by chemotherapy with good response.
Curative resection was possible in 2 patients and palliative resection in one and exploration only in one case. Curatively resected patients are alive without recurrence for 57 months, 8 months, each. Other non-curatively resected patients died
after 10
months, 7 months.
Above results suggest that initial esophageal prosthesis to relieve dysphagia followed by chemotherapy in unresectable esophageal cancer may provide another chances for curtive resection that promise better survival and need more clinical
experience and
trial.
(Korean J Thoracic Cardiovas Surg 1995;28:90-5)
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