Category: Esophageal cancer

Esophageal cancer

Curative treatment for esophageal cancer: DISCUSSION Part 4

DISCUSSION

Major factors in determining surgical complication rates are hospital and physician volume, and specialization. Thirty-day mortality rates after esophagectomy vary from 17.3% for institutions undertaking one to five cases per annum to 3.4% for those undertaking more than 11 cases per annum. In another study of hospital mortality in patients…

Esophageal cancer

Curative treatment for esophageal cancer: DISCUSSION Part 3

DISCUSSION

Although cure is the ultimate goal, relief of dysphagia is often the dominant immediate concern in the management of esophageal cancer. We found that relief of dysphagia after immediate esophagectomy was equivalent to that after primary chemoradiotherapy and selective surgery. After esophagectomy alone, the majority of patients are able to…

Esophageal cancer

Curative treatment for esophageal cancer: DISCUSSION Part 2

DISCUSSION

Comparison of survival among patients in the present series undergoing transhiatal and transthoracic esophagectomy, and esophagogastrectomy is limited by small numbers and the fact that 16 operations were performed in patients with persistent or recurrent disease after chemoradiother-apy, putting them in a potentially poorer prognostic group. However, there is a…

Esophageal cancer

Curative treatment for esophageal cancer: DISCUSSION Part 1

DISCUSSION

We report the outcomes for all patients treated with curative intent for esophageal cancer in the Vancouver Island Cancer Centre from 1993 to 1998. Cause-specific survival for all patients is consistent with historical experience. A similar type of outcome analysis of patients who underwent chemoradiotherapy (n=82) and those who underwent…

Esophageal cancer

Curative treatment for esophageal cancer: RESULTS Part 3

Esophageal cancer

Survival analysis was undertaken to examine the following factors: sex, age at diagnosis, T status, N status, histology, primary tumour location, surgical procedure, chemoradiotherapy plus selective surgery, or esophagectomy alone. No single prognostic factor for survival was statistically significant, although there were trends toward significance in univariate analyses for sex…

Esophageal cancer

Curative treatment for esophageal cancer: RESULTS Part 1

Esophageal cancer

Between 1993 and 1998, 75 patients received curative treatment for esophageal cancer. Nineteen patients under went esophagectomy alone and 56 patients underwent primary chemoradiotherapy — of whom 16 had selective surgery. Esophagectomy was performed by 12 surgeons, two of whom performed 17 (49%) procedures. Three esophagectomies were performed in other…