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Long-term efficacy of transhiatal esophagectomy for esophageal carcinoma and esophagogastric junction cancer

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Author:
No author available
Journal Title:
CHINESE JOURNAL OF GASTROINTESTINAL SURGERY
Issue:
9
DOI:
10.3760/cma.j.issn.1671-0274.2010.09.006
Key Word:
食管肿瘤;食管胃交界肿瘤;食管切除术,经膈肌裂孔;远期生存;Esophageal neoplasms;Esophagogastric junction neoplasms;Transhiatal esophagectomy;Long-term survial

Abstract: Objective To evaluate the long-term efficacy of transhiatal esophagectomy (THE) for esophageal carcinoma or esophagogastric junction cancer. Methods Between March 2000 and December 2009, a total of 544 patients with either esophageal carcinoma or esophagogastric junction cancer underwent esophagectomy via THE(n=63) or other approaches(n=481) in Beijing cancer hospital institution. Procedures were performed by a single surgeon team. Long-term survival was compared between two groups. Results The 1-year, 3-year, 5-year, and 8-year accumulative survival rates in THE group were 91.0%, 60.5%, 44.6%, and 44.6%, respectively, while those in non-THE group were 84.5%, 49.2%, 37.2%, and 28.7%, respectively. The THE group showed better long-term survival than the non-THE group, however the difference was not statistically significant. Conclusion THE is a safe alternative for esophageal carcinoma and esophagogastric junction cancer.

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