Outcome after transthoracic resection of carcinoma of the oesophagus and oesophago-gastric junction: Impact of a dedicated surgical team unit

Lone S. Jensen, H. K. Pilegaard, E. Puho, E. Pahle, N. C. Melsen

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Aims: To assess the postoperative morbidity and mortality, length of stay and long-term survival after resection of carcinoma of the oesophagus and gastro-oesophageal junction, after establishment of a new surgical team unit between thoracic and gastroenterologic surgeons. Methods: We analysed the prospective collected data of 166 consecutive patients who underwent a transthoracic oesophageal resection between June 1997 and December 2003. Results: There were 119 men and 47 women. The median age was 63 years (range 36-81). Fifty-five patients (33%) had squamous cell carcinoma and 111 (67%) had adenocarcinoma. Postoperative complications occurred in a total of 60 patients (36%). Ten patients (6%) died postoperatively, eight (4.8%) due to medical and two (1.2%) due to surgical complications. The median postoperative length of stay was 11 days (range 6-75). The overall 3- and 5- years survival was 35.6% and 30.6% respectively. Survival was adversely affected by patient age and tumor stage. Conclusions: Concentrating resection for carcinoma of the oesophagus and oesophagogastric junction to a dedicated team of specialists, including both gastrointestinal and thoracic surgeons as well as thoracic-anaesthesiological know-how, results in acceptable complication rates as well as low mortality rates especially due to surgical complications.

Original languageEnglish
Pages (from-to)191-196
Number of pages6
JournalScandinavian Journal of Surgery
Volume94
Issue number3
DOIs
Publication statusPublished - Jan 1 2005

Keywords

  • Oesophageal carcinoma
  • Outcome, surgery
  • Specialization

ASJC Scopus subject areas

  • Surgery

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