Martín GMA, Ferrá BA

Language: Spanish
References: 18
Page: 18-22
PDF size: 54.69 Kb.

ABSTRACT

Objective: To know the morbidity and mortality associated to surgical treatment of cancer of the esophagus.
Setting: Third level health care hospital.
Design: Prospective, observational study, without control group.
Statistical analysis: Means, percentages, and Pearson’s correlation test.
Patients and methods: We studied 49 operated patients with cancer of the esophagus during a 7-years period. We analyzed the following variables: site of the tumor, histological type, nutritional state, complete or incomplete resection, type of surgery, organ used as substitute, its shape and ascending route, site and details of anastomoses, type of suture, additional surgical procedures, surgical accidents, complications and post-operative mortality, as well as staging after surgery.
Results: From the studied population, 37 were men and 12 were women, mean age of 56 years; 43 tumors were resectable, 21 by means of the McKeown technique. The stomach was used in all patients and jejunostomy was performed. In the last seven cases no gastric drain was performed. There were 7 transoperative accidents (16%) and 22 complications (51%), mainly due to cervical fistula in 16 patients (73%). Mortality was of 14% (7 patients) associated to sepsis and age over 60 years.
Conclusion: Morbidity and mortality is still high in these patients. The surgical technique must be careful, assessing the risk factors, such as infection and age over 60 years.

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