Surgical management of esophageal cancer: A decade of change

Bolton, J. S., Ochsner, J. L. and Abdoh, A. A. (1994). Surgical management of esophageal cancer: A decade of change. In: 105th Annual Scientific Session of the Southern Surgical Association, Hot Springs, VA, United States, (475-480). 5-8 December 1993. doi:10.1097/00000658-199405000-00005

Author Bolton, J. S.
Ochsner, J. L.
Abdoh, A. A.
Title of paper Surgical management of esophageal cancer: A decade of change
Conference name 105th Annual Scientific Session of the Southern Surgical Association
Conference location Hot Springs, VA, United States
Conference dates 5-8 December 1993
Journal name Annals of Surgery   Check publisher's open access policy
Publisher Lippincott Williams & Wilkins
Publication Year 1994
Sub-type Fully published paper
DOI 10.1097/00000658-199405000-00005
ISSN 0003-4932
Volume 219
Issue 5
Start page 475
End page 480
Total pages 5
Language eng
Abstract/Summary Objective. To examine trends for use of transhiatal esophagectomy (THE) and to relate outcome variables to changes in use, controlling for preoperative risk. Background. High operative morbidity and mortality rates are reported with conventional transthoracic esophagectomy (TTE). Transhiatal esophagectomy has been proposed as an alternative but is controversial. Methods. In this retrospective study divided into early and late time periods, outcome variables were subjected to univariate and multivariate analyses. Results. Use of THE increased significantly in the late period (p < 0.0001). Patients who had THE had significantly higher American Society of Anesthesiologists (ASA) risk scores (p < 0.001). By the late period, 92% of patients with ASA III/IV scores were resected by THE. Postoperative morbidity decreased significantly and operative mortality decreased from 15% to 0% (p < 0.01) between the early and late time periods. By multivariate analysis, ASA ≥ III and TTE were associated with adverse surgical outcome. Pathologic stage determined disease-free survival, which was 37% at 3 years for all survivors. Conclusions. Increased use of THE results in better operative outcome and does not adversely affect disease-free survival.
Q-Index Code E1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Conference Paper
Collection: School of Medicine Publications
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Created: Mon, 14 Mar 2011, 10:49:25 EST