Pre-operative estimation of complete resection for patients with oesophageal carcinoma

K. Sugimachi, M. Watanabe, N. Sadanaga, M. Ikebe, M. Mori, K. Kitamura, H. Matsufuji, H. Kuwano

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Abstract

Three hundred and seventy-nine patients were studied retrospectively regarding the possibility of a complete resection of the oesophageal carcinoma based on the combined findings of pre-operative oesophagogoraphy and computed tomography (CT). One hundred and four out of 129 patients (96.1%) having lesions which did not demonstrate all three of the aforementioned factors (a lesion shorter than 8 cm, a normal oesophageal axis, and normal contact of the lesion with neighboring organs in CT) underwent a complete resection of the oesophageal lesion. Fifty-three percent of the patients ( 52 97) with a lesion showing only one of these factors had a complete resection. Whereas, on the other hand, a complete removal of the malignancy was only possible in 22% of the patients with two or all three of the findings. Moreover, as a result of further analysis limited for resected cases, the number of positive factors in these pre-operative findings correlated with the advancement of the surgical stage, which reflected a curability in surgery and a rate of postoperative complications. In order to make adequate plans for the treatment of patients with advanced oesophageal cancer, the finding of (i) the length of lesion, (ii) a deep ulceration and deformity of the oesophageal axis and (iii) any abnormal contact in CT, are considered to be very useful.

Original languageEnglish
Pages (from-to)327-334
Number of pages8
JournalSurgical Oncology
Volume3
Issue number6
DOIs
Publication statusPublished - Dec 1994

All Science Journal Classification (ASJC) codes

  • Surgery
  • Oncology

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    Sugimachi, K., Watanabe, M., Sadanaga, N., Ikebe, M., Mori, M., Kitamura, K., Matsufuji, H., & Kuwano, H. (1994). Pre-operative estimation of complete resection for patients with oesophageal carcinoma. Surgical Oncology, 3(6), 327-334. https://doi.org/10.1016/0960-7404(94)90071-X