From March 1989 to June 1994, 24 cases of esophageal cancer were treated surgically.
Among 24, male was 22 cases, female was 2 cases, and the age ranged from 46 to 75, the mean was 59.8. Symptoms were dysphagia (86.9%), weight loss (65.2%) and retrosternal pain or discomfort (47.8%). The tumor was located cervical esophagus in
two,
upper esophagus in three, middle esophagus in 12 and lower esophagus in 7.
Among 24 patients, 22 were curative resection, partial esophagectomy with esophagogastrostomy (18 cases) or colon interposition (3 cases), with total esophagectomy with musculocutaneous flap (1 case), with feeding jejunostomy or gastrostomy in
two
cases.
Postoperative complications revealed 10 patients (45.4%), as followed; pleural effusion and pneumonia in 5, passage disturbance in 4, empyema and wound infection in 3, esophagopleural fistula and sepsis in 2, anastomotic site leakage and
respiratory
failure in each 1. The operative motality was 13.6% (3/22) and causes of death were repiratory failure in 1 case and sepsis in 2 cases.
During follow-up period, 8 cases died. The mean survival time was 15.2 months in curative resection group. One year survival rate was 55.3% in resected group. Also, cacer recurrence revealed in 1 cases.
(Korean J Thorac Cardiovasc Surg 1995;28:287-92)
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