From January 1987 to December 1994, twenty five patients with cancer of the esophagus were treated surgically at the department of Thoracic and Cardiovascular Surgery, tae Jeon Eul Ji General Hospital.
Among them, male was 24 cases. female was 1 case, with age ranged from 40 to 74 years, mean age was 60.4 years.
The most common symptoms were dysphagia 92.0%, general weakness 28.0%, substernal pain 16.0%, weight loss 16.0%.
The tumor locations were the upper third in 2, middle third in 17, lower third in 6.
Surgical treatment was done with transthoracic esophagectomy and esophagogastrostomy 1~4 cases, transthoracic esophagectomy and esophagocologastrostomy 5 cases, Transthoracic esophagectomy and jejunal interposition 2 cases, palliative feeding
gastrostomy 4 cases.
The postoperative complications included anstomotic leakage in 3 cases, empyema in 3 cases, empyema in 3 cases, wound infetion in 2 cases, atelectasis in 2 cases, pleural effusion in l case, hoarseness in l case, pneumothorax in l case, necrosis
of
jejunal loop in l case, aspiration pneumonia in l case.
The operative mortality were 3 cases(12.0%)and causes of death were aspiration pneumonia l case, sepsis and respiratory failure in each l.
The mean survival period was 9.75 months. Recurrence of cancer revealed in 3 cases.
|