HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Drucker, M. H. Articles by Symbas, P. N. Search for Related Content PubMed PubMed Citation Articles by Drucker, M. H. Articles by Symbas, P. N.

Ann Thorac Surg 1979;28:133-138
© 1979 The Society of Thoracic Surgeons

---

Articles

Esophageal Carcinoma: An Aggressive Approach

From the Joseph B. Whitehead Department of Surgery, Thoracic and Cardiovascular Surgery Division, Emory University School of Medicine, and Grady Memorial Hospital, Atlanta, GA

^* Address reprint requests to Dr. Symbas, 69 Butler St, SE, Atlanta, GA 30303

During a 3-year period, 45 patients with esophageal carcinoma (18 of the lower and 27 of the middle third) underwent esophagectomy and esophagogastrostomy. All patients were considered to be in Stage I and Stage II preoperatively, but at the time of operation, 66% were found to have Stage III disease.

All patients underwent mobilization of the stomach through a laparotomy, and resection of the esophagus and reconstruction of the continuity of the gastrointestinal tract through a separate right lateral thoracotomy incision. Following operation, 22 patients (10, Stage I and II and 12, Stage III) received no radiotherapy and 23 patients (5, Stage I and II and 18, Stage III) received radiotherapy. Two patients died in the immediate postoperative period, for a surgical mortality of 4.8%.

Because of the acceptable survival and enhancement of quality of life, esophagectomy and esophagogastrostomy should be offered not only to Stage I and II patients with esophageal carcinoma but also to selected patients with Stage III disease and those with lower and middle third esophageal lesions.

This article has been cited by other articles:

				K. A. Mansour and R. S. Downey Esophageal carcinoma: Surgery without preoperative adjuvant chemotherapy Ann. Thorac. Surg., August 1, 1989; 48(2): 201 - 204. [Abstract] [PDF]

				D. M. Shahian, W. B. Neptune, F. H. Ellis Jr., and E. Watkins Jr. Transthoracic versus Extrathoracic Esophagectomy: Mortality, Morbidity, and Long-term Survival Ann. Thorac. Surg., March 1, 1986; 41(3): 237 - 246. [Abstract] [PDF]