Transhiatal and transthoracic esophagectomy: a comparative study

Bolton, John S., Sardi, Armando, Bowen, John C. and Ellis, James K. (1992) Transhiatal and transthoracic esophagectomy: a comparative study. Journal of Surgical Oncology, 51 4: 249-253. doi:10.1002/jso.2930510410

Author Bolton, John S.
Sardi, Armando
Bowen, John C.
Ellis, James K.
Title Transhiatal and transthoracic esophagectomy: a comparative study
Journal name Journal of Surgical Oncology   Check publisher's open access policy
ISSN 0022-4790
Publication date 1992-12
Sub-type Article (original research)
DOI 10.1002/jso.2930510410
Volume 51
Issue 4
Start page 249
End page 253
Total pages 5
Place of publication Hoboken, NJ, United States
Publisher John Wiley & Sons
Language eng
Abstract From January 1981 to December 1990, 55 consecutive patients underwent esophageal resection by either the transhiatal (THE, 26 patients) or transthoracic (TTE, 29 patients) approach. Patient age, tumor size, and tumor stage were similar in the two groups. THE patient had a significantly worse mean preoperative American Society of Anesthesiologists (ASA) risk class assigned by the anesthesiologist. Patients who underwent THE had a significantly lower operative mortality and rate of cardiopulmonary complications, significantly shorter intensive care unit and hospital length of stay, and a significantly better postoperative survival when operative deaths are included in the analysis. Operative deaths in the TTE group were concentrated among patients > 65 years of age (4 of 9 died), in an ASA risk class ≥III (3 of 7 died) or with moderate or severe cardiac or pulmonary impairment preoperatively (4 of 6 died).
Keyword Transthoracic esophagectomy
Transhiatal esophagectomy
Esophageal cancer
Operative mortality
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ
Additional Notes Article first published online: 20 July 2006.

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Medicine Publications
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Citation counts: TR Web of Science Citation Count  Cited 20 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 25 times in Scopus Article | Citations
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Created: Mon, 14 Mar 2011, 10:49:29 EST