TRANSHIATAL ESOPHAGECTOMY: A PREFERRED PROCEDURE IN STAGE III DISEASE OF LOWER END OF ESOPHAGUS
Keywords:
Trans Hiatal Esophagectomy, Esophageal cancer, Dysphagia, Anastomotic leak, MorbidityAbstract
Objectives: To review the postoperative relief of dysphagia and reduced peri operative morbidity and mortality in patients who underwent Trans Hiatal Esophagectomy (THE) in stage III disease of the lower end of esophagus.
Material and Methods: A retrospective study was conducted to review the postoperative relief of dysphagia and peri operative morbidity and mortality in post Trans Hiatal Esophagectomy patients with stage III disease of the lower end of esophagus. The record of all the patients who underwent Trans Hiatal Esophagectomy during the period from Feb, 2012 to Jan, 2015 was reviewed. Among them, the patients with clinical and radiological stage III disease were selected for the study. A total of 120 patients underwent THE during this period. Seventy patients among them had stage III disease.
Results: We retrospectively studied the relief of dysphagia and morbidity / mortality during the first 30 days of Trans Hiatal Esophagectomy. Two patients died during the postoperative period in hospital. Three (4.28%) patients had clinically evident anastomotic leak from the cervical wound. No significant dysphagia was noted in first 30 days post op period. Patients were able to eat and drink after one month of their surgery. The numbers of lymph nodes removed during surgery were 9 to 22 with an average of 15 per patient.
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