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Conference Paper: A comparison of transhiatal and transthoracic resection for oesophageal carcinoma

TitleA comparison of transhiatal and transthoracic resection for oesophageal carcinoma
Authors
Issue Date1993
PublisherGeorg Thieme Verlag. The Journal's web site is located at http://www.thieme.de/endoscopy/index.html
Citation
Endoscopy, 1993, v. 25 n. 9, p. 660-663 How to Cite?
AbstractWe compared the results of 327 transthoracic (TT) resections and 82 transhiatal (TH) resections for carcinoma of the oesophagus operated on between July 1982 and June 1991. Significantly more patients with carcinoma of the lower third of the oesophagus (54 % versus 28 %) and with increased pulmonary risks for surgery (61% versus 22 %) were selected for the TH approach as compared with the TT approach. Results showed comparable intraoperative complications between the two groups. 5 % of patients in the TH group required a thoracotomy for control of haemorrhage (3 patients) and repair of bronchial tear (1 patient) which occurred during the transmediastinal dissection. Postoperatively, mechanical ventilation requirement and complications involving the cardio-pulmonary systems were similar between the two groups. Anastomotic leakage occurred in 3 % and 4 %, respectively for the TH and TT patients (p = NS), whereas hoarseness occurred in 16% and 5%, respectively (p = 0.001). The 30-day mortality rates and hospital mortality rates were comparable between the two groups as were the overall survival rates. Our results suggested that while TH resection did not diminish the operative morbidity and mortality rates overall, it is appropriate for patients with increased pulmonary risks to be preferentially selected for this approach, and for tumours located in the upper and lower portion of the thoracic oesophagus where dissection of the tumour can be carried out mostly under vision.
Persistent Identifierhttp://hdl.handle.net/10722/173552
ISSN
2015 Impact Factor: 5.634
2015 SCImago Journal Rankings: 1.692
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorFok, Men_HK
dc.contributor.authorLaw, Sen_HK
dc.contributor.authorStipa, Fen_HK
dc.contributor.authorCheng, Sen_HK
dc.contributor.authorWong, Jen_HK
dc.date.accessioned2012-10-30T06:32:55Z-
dc.date.available2012-10-30T06:32:55Z-
dc.date.issued1993en_HK
dc.identifier.citationEndoscopy, 1993, v. 25 n. 9, p. 660-663en_US
dc.identifier.issn0013-726Xen_HK
dc.identifier.urihttp://hdl.handle.net/10722/173552-
dc.description.abstractWe compared the results of 327 transthoracic (TT) resections and 82 transhiatal (TH) resections for carcinoma of the oesophagus operated on between July 1982 and June 1991. Significantly more patients with carcinoma of the lower third of the oesophagus (54 % versus 28 %) and with increased pulmonary risks for surgery (61% versus 22 %) were selected for the TH approach as compared with the TT approach. Results showed comparable intraoperative complications between the two groups. 5 % of patients in the TH group required a thoracotomy for control of haemorrhage (3 patients) and repair of bronchial tear (1 patient) which occurred during the transmediastinal dissection. Postoperatively, mechanical ventilation requirement and complications involving the cardio-pulmonary systems were similar between the two groups. Anastomotic leakage occurred in 3 % and 4 %, respectively for the TH and TT patients (p = NS), whereas hoarseness occurred in 16% and 5%, respectively (p = 0.001). The 30-day mortality rates and hospital mortality rates were comparable between the two groups as were the overall survival rates. Our results suggested that while TH resection did not diminish the operative morbidity and mortality rates overall, it is appropriate for patients with increased pulmonary risks to be preferentially selected for this approach, and for tumours located in the upper and lower portion of the thoracic oesophagus where dissection of the tumour can be carried out mostly under vision.en_HK
dc.languageengen_US
dc.publisherGeorg Thieme Verlag. The Journal's web site is located at http://www.thieme.de/endoscopy/index.htmlen_HK
dc.relation.ispartofEndoscopyen_HK
dc.subject.meshAgeden_US
dc.subject.meshCarcinoma, Squamous Cell - Mortality - Surgeryen_US
dc.subject.meshEsophageal Neoplasms - Mortality - Surgeryen_US
dc.subject.meshEsophagectomy - Methodsen_US
dc.subject.meshFemaleen_US
dc.subject.meshHospital Mortalityen_US
dc.subject.meshHumansen_US
dc.subject.meshIntraoperative Complications - Epidemiologyen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshPostoperative Complications - Epidemiologyen_US
dc.subject.meshRisk Factorsen_US
dc.titleA comparison of transhiatal and transthoracic resection for oesophageal carcinomaen_HK
dc.typeConference_Paperen_HK
dc.identifier.emailLaw, S: slaw@hku.hken_HK
dc.identifier.emailCheng, S: wkcheng@hkucc.hku.hken_HK
dc.identifier.emailWong, J: jwong@hkucc.hku.hken_HK
dc.identifier.authorityLaw, S=rp00437en_HK
dc.identifier.authorityCheng, S=rp00374en_HK
dc.identifier.authorityWong, J=rp00322en_HK
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1055/s-2007-1010427-
dc.identifier.pmid8119227-
dc.identifier.scopuseid_2-s2.0-0027739861en_HK
dc.identifier.volume25en_HK
dc.identifier.issue9en_HK
dc.identifier.spage660en_HK
dc.identifier.epage663en_HK
dc.identifier.isiWOS:A1993MM68700024-
dc.publisher.placeGermanyen_HK
dc.identifier.scopusauthoridFok, M=7005879262en_HK
dc.identifier.scopusauthoridLaw, S=7202241293en_HK
dc.identifier.scopusauthoridStipa, F=7003917518en_HK
dc.identifier.scopusauthoridCheng, S=7404684779en_HK
dc.identifier.scopusauthoridWong, J=8049324500en_HK

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