ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Serdar HAN, Koray DURAL, Ünal SAKINCI, Erkan YILDIRIM, Neslihan ULAŞAN, Hamidiye SAYGIN
Ankara Numune Eğitim ve Araştırma Hastanesi, Göğüs Cerrahisi Kliniği, ANKARA
Esophagus cancer treatment is difficult to do because of its multicentricity, early lymphatic invasion and late symptoms. We have presented here 55 operated esophagus carcinoma cases between 1990 and 2000 and observed them retrospectively. Preoperatively we have taken routine biochemical and hemathological tests and have done esophagogastric passage graphy with barium and chest tomography, abdominal ultrasonography and rigid esophagoscopy to the all patients. Postoperatively, we tested the patients for morbidity, mortality and survey.

Sixteen patients were women (%16) and 39 patients were men (%70). The youngest patient was 18 years old boy and the elder was 76 year old man (average age 52 ± 1 years). Most frequent symptom was dysphagia (%95) and weight loss (%30). Histopathologically, 49 cases (%90) were squmous cell, 6 cases (%10) were adenocarcinoma. The carcinoma localization was at the middle 1 / 3 rd in the %45, lower 1 / 3 rd in the %38, upper 1 / 3 rd in the %7 and at the cardia in the %10 of patients. We did laparotomy + right thoracotomy + distal esopahogectomy + esophagogastrostomy in the 20 patients and in the other 18 patients left thoracophrenolaparotomy + distal esophagectomy + proximal gastrectomy + esophagogastrostomy. And we did laparotomy + total esopahagectomy + total laryngectomy + radical neck dissection + oropharyngogastrostomy. We used the stomach for the replacement in almost every patient. Only in the one case we did laparotomy + right thoracotomy + esophagojejunostomy because of his prior operation for peptic ulcus. Only one case died from myocard infarction in the 7th postoperative day. We have determined fistulae in the 2 patient. Average survey was found to be 15 months.

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