دورية أكاديمية
One hundred transhiatal esophagectomies: a single-institution experience.
| العنوان: | One hundred transhiatal esophagectomies: a single-institution experience. |
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| المؤلفون: | Pines G; Department of Surgery B, Kaplan Medical Center, Rehovot, affiliated with Hebrew University-Hadassah Medical School, Jerusalem, Israel., Klein Y, Melzer E, Idelevich E, Buyeviz V, Machlenkin S, Kashtan H |
| المصدر: | The Israel Medical Association journal : IMAJ [Isr Med Assoc J] 2011 Jul; Vol. 13 (7), pp. 428-33. |
| نوع المنشور: | Comparative Study; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: The Association Country of Publication: Israel NLM ID: 100930740 Publication Model: Print Cited Medium: Print ISSN: 1565-1088 (Print) NLM ISO Abbreviation: Isr Med Assoc J Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Ramat Gan, Israel : The Association, c1999- |
| مواضيع طبية MeSH: | Esophageal Diseases/*surgery , Esophagectomy/*statistics & numerical data , Hospitals, University/*statistics & numerical data, Aged ; Aged, 80 and over ; Female ; Follow-Up Studies ; Humans ; Incidence ; Israel/epidemiology ; Male ; Middle Aged ; Outcome Assessment, Health Care ; Postoperative Complications/epidemiology ; Retrospective Studies ; Time Factors |
| مستخلص: | Background: Surgery is considered the mainstay of treatment for esophageal carcinoma. Transhiatal esophagectomy with cervical esophagogastric anastomosis is considered relatively safe with an oncological outcome comparable to that using the transthoracic approach. Objectives: To review the results of the first 100 transhiatal esophagectomies performed in a single Israeli center. Methods: The records of all patients who had undergone transhiatal esophagectomy during the period 2003-2009 were reviewed. The study group comprised the first 100 patients. All patients who had undergone colon or small bowel transposition were excluded. Indications for surgery included esophageal cancer, caustic injury and achalasia. Results: The median follow-up period was 19.5 months. The anastomotic leakage rate was 15% and all were managed successfully with local wound care. The benign stricture rate was 10% and all were managed successfully with endoscopic balloon dilation. Anastomotic leakage was found to be a risk factor for stricture formation. Overall survival was 54%. Response to neoadjuvant therapy was associated with a favorable prognosis. Conclusions: Transhiatal esophagectomy is a relatively safe approach with adequate oncological results, as long as it is performed in a high volume center. |
| تواريخ الأحداث: | Date Created: 20110816 Date Completed: 20110906 Latest Revision: 20191210 |
| رمز التحديث: | 20231215 |
| PMID: | 21838186 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1565-1088 |
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