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Two‐stage operation for poor‐risk patients with carcinoma of the esophagus
Author(s) -
Sugimachi Keizo,
Kitamura Masayuki,
Maekawa Sohichiro,
Matsufuji Hidemasa,
Kai Hidenobu,
Okudaira Yasuyuki
Publication year - 1987
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/jso.2930360206
Subject(s) - medicine , esophagus , thoracotomy , stage (stratigraphy) , surgery , dissection (medical) , laparotomy , carcinoma , esophagectomy , general surgery , esophageal cancer , cancer , paleontology , biology
We have devised a two‐stage operation for poor‐risk patients with carcinoma of the thoracic esophagus. The first‐stage operation consists of a right thoracotomy, subtotal esophagectomy, and lymph node dissection. Two to three weeks later, the second‐stage operation of esophageal reconstruction with gastric tube is performed under laparotomy. During this 3‐week period of no esophagus, the nutritional status can be adequately maintained by intravenous hyperalimentation. We describe herein the technique, postoperative complications, and mortality of our two‐stage operation as compared with events during an ordinary one‐stage operation for carcinoma of the thoracic esophagus.