Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Surgical Management of Esophageal Carcinoma after Esophageal Prosthesis

인공 식도를 삽입한 식도암 환자의 수술치험 4례

  • 박승훈 (원자력병원, 삼성의료원)
  • Published : 1995.01.01
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Abstract

Effective relief of dysphagia in unresectable esophageal cancer patients not only prolong survival but also is prerequisite for other treatment modalities.We tried surgical resection in 4 patients who had unresectable esophageal cancer,managed initially with esophageal prosthesis then followed by chemotherapy with good response. Curative resection was possible in 2 patients and palliative resection in one and exploration only in one case.Curatively resected patients are alive without recurrence for 57 months,8 months,each.Other non-curatively resected patients died after 10 months,7 months. Above results suggest that initial esophageal prosthesis to relieve dysphagia followed by chemotherapy in unresectable esophageal cancer may provide another chances for curative resection that promise better survival and need more clinical experience and trial.

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References

  1. Radiology v.180 Esophagogastric neoplasm : Palliation with modified Gianturco stent Song,H.Y.;Choi,K.C.;Cho,B.H.;Ahn,D.S.;Kim,K.S.
  2. Radiology v.184 Esophageal stricture : Treatment with a new design of modified Gianturco stent Song,H.Y.;Choi,K.C.;Kwon,H.C.;Yang,D.H.;Cho,B.H.;Lee,S.T.
  3. Radiology v.187 Esophagorespiratory fistula associated with esophageal cancer:Treatment with a Gianturco stent tube Do,Y.S.;Song,H.Y.;Lee,B.H.;Byun,H.S.;Kim,K.H.;Chin,S.Y.;Park,J.H.
  4. J Clin Oncology v.2 Preoperative chemotherapy and radiation therapy for patient with cancer of the esophagus: A potentially curative approach Leichman,L.;Steiger,Z.;Seydel,H.G.(et al.)
  5. J Clin Oncology v.4 Preoperative chemotherapy followed by surgery with possible postoperative radiotherapy in squamous carcinoma of the esophagus: Evaluation of the chemotherapy component Carey,R.W.;Hilgenbug,A.D.;Wilkins,E.W.(et al.)
  6. J Clin Oncology v.8 Evaluation of pre- and postoperative chemotherapy for resectable adenocarcinoma of the esophagus or gastroesophageal junction Ajani,J.A.;Roth,J.A.;McMurtrey,M.;Rich,T.A.(et al.)
  7. Ann Thorac Surg v.56 Preliminary result with neoadjuvant therapy and resection for esophageal carcinoma Hoff,S.J.;Stewart,J.R.;Sawyers,J.L.;Murray,M.J.(et al.)