Korean Journal of Bronchoesophagology (대한기관식도과학회지)
- Volume 15 Issue 2
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- Pages.36-41
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- 2009
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- 1226-0916(pISSN)
The Role of Transhiatal Operation at Esophageal Carcinoma Operation
식도암의 수술에서 transhiatal 술식의 역할
- Kim, Jae-Bum (Department of Thoracic and Cardiovascular Surgery, School of Medicine, Keimyung University) ;
- Park, Chang-Kwon (Department of Thoracic and Cardiovascular Surgery, School of Medicine, Keimyung University)
- Published : 2009.12.30
Abstract
Background : Controversy exists whether patients with esophageal carcinoma are best managed with classical Ivor Lewis esophagectomy(ILO) as combined thoracic and abdominal approach or transhiatal esophagectomy(THO). The THO approach is known to be superior with respect to operative time, morbidity and mortality, and length of stay, especially at poor pulmonary function patient, but may represent an inferior cancer operation due to inadequate mediastinal clearance compared with ILO. Accordingly, we estimated the THO role at esophageal cancer to compare each operative approach. Material and Method : From January 2002 to December 2007, we performed a retrospective review of all esophagectomies performed at Keimyung University Dongsan Medical Center; 36 underwent THO, and 11 underwent ILO. Result : There were all men and squamous cell carcinoma but 1 woman at ILO group, 2 women at THO group. There were no significant differences between THO and ILO with age, sex, location of tumor, mean tumor length. There were significant differences at preoperative pulmonary function test(In ILO group, average FEV1 is