ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
What are the independent prognostic factors in patients undergoing esophagectomy for esophageal cancer?
Sermin Alcan1, Makbule Ergin2, Hakan Keskin2, Abdullah Erdoğan2
1Department of Thoracic Surgery, Şanlıurfa Mehmet Akif Inan Training and Research Hospital, Şanlıurfa, Turkey
2Department of Thoracic Surgery, Akdeniz University, Faculty of Medicine, Antalya, Turkey
DOI : 10.5606/tgkdc.dergisi.2022.20969
Background: This study aims to investigate the prognostic factors affecting survival in patients undergoing surgical treatment for esophageal cancer.

Methods: A total of 50 patients (33 males, 17 females; mean age: 57.8±11.8 years; range, 28 to 80 years) who underwent esophagectomy for esophageal cancer in our clinic between January 2008 and March 2018 were retrospectively analyzed. Prognostic factors affecting survival were investigated. Data including age, sex, tumor size, histological and macroscopic type, tumor stage, T and N categories, the total number of resected lymph nodes and metastatic lymph node ratio, differentiation degree, vascular and perineural invasion, proximal surgical margin distance, adjuvant therapy, and the presence of postoperative complications were recorded.

Results: The patients after radical surgery with a tumor size of <3 cm, macroscopic type non-ulcerative-infiltrative squamous cell carcinoma pathology, Stage 1 disease, pT1-2, pN0, well-differentiated groups, no perineural invasion, a metastatic lymph node ratio of <0.2, proximal surgery margin length of 5 to 10 cm, and no postoperative complications had higher five-year survival rates. However, when the effects of these factors on overall survival were examined independently, none of them had a statistically significant effect (p>0.05). The main factors affecting the prognosis were Stage ?2 disease, postoperative complications, and proximal surgical margin less than 5 cm.

Conclusion: Our study results suggest that Stage 1 disease, a proximal surgical margin length of more than 5 cm, and the absence of complications are associated with longer survival times and these patients are greatly benefited from surgical treatment.

Keywords : Esophageal cancer, esophagectomy, prognostic factors, surgery
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