Portal de Periódicos da CAPES

Oesophagectomy for carcinoma of the oesophagus and oesophagogastric junction

1999; Oxford University Press; Volume: 15; Issue: 5 Linguagem: Inglês

10.1016/s1010-7940(99)00085-8

1873-734X

Malcolm Dalrymple‐Hay, Kate B. Evans, Richard Lea,

Esophageal and GI Pathology

Objective: Oesophageal carcinoma has a poor prognosis; surgical resection remains the only chance of cure but is still associated with a significant morbidity and mortality. The aim of this study was to review the results of one surgeon for oesophageal resection for carcinoma of the oesophagus and oesophagogastric junction over a 23 year period. Methods: Between January 1974 and December 1996, 591 patients (408 males; 183 females; mean age 66 years) underwent an oesophageal resection for carcinoma of the oesophagus or oesophagogastric junction. Results: In hospital mortality was 8.8% (52/591). This has decreased to less than 5% for resections between 1985 and 1996. Non-fatal complications occurred in 21% of patients (123/591). Survival, including in hospital mortality (±SEM), was 53.98% (±2), 31.77% (±2) and 15.3% (±2) at 1, 2 and 5 years respectively. Conclusion: Early mortality following oesophageal resection has fallen in recent years. Despite considerable experience, long term survival remains disappointingly low.