식도암 술식에 있어 개흉술과 경부 식도-위문합술병용의 효과에 관한 추적조사(Ⅰ) = The follow-up study of Right Teoracotoabdominal Esophagectomy and Esophagogastrostomy using a Transverse Cervival Incision

다국어 초록 (Multilingual Abstract)

Carcinoma of the esophagus is one of the most difficult diseases to cure or palliate. Aithough operation may provide the only chance of a cure for esophageal carcinoma, results of the operation still remains unsatisfactory. We performed thoracoabdominal esophagectomy to make a effective radical lymph node dissection, and performed esophagogastrostomy using a transverse cervical incision to make less complication, which are anastomosis site leakage, recurrent laryngeal nerve palsy and so on.
We analysed the 7 male patients of esophageal cancer who diagnosed and operated in the manner of thoracoabdominal esophagectomy and esophagogastrostomy using transverse cervical incision at Chung-Ang University Hospital from July, 1995 to June, 1997.
Results were as followed
The sex incidence showed male predominance with a male to female ratio of 7：o. The main complained symptom is dysphagia for soild food. The tumor was located at lower third in 3 cases, at middle third in 4 cases. According to the AJCC of the primary esophageal cancer, StageⅡ were 3 cases, stageⅢ were 3 cases and StageⅣ was 1 case. In histologic types. most cases of esphoageal cancer were squamous cell carcinoma. As an adjuvant therapy, postoperative chemotherapy and radiotherapy were performed in 3 case, and only a postoperative chemotherapy was performed in 4 cases. Six of the seven patients have been followed up.