Results Of Resection And Bypass Surgery In Advanced Cancer Of The Esophagus

Abstract

The aim was to evaluate the effectiveness of esophagectomy and palliative operations for the treatment of locally advanced esophageal cancer. Methods and materials: 106 adolescent participants with locally advanced esophageal cancer and adenocarcinoma of cardioesophageal junction underwent esophagectomy and esophagojejumal bypass. Results. In 85 cases of locally advanced esophageal cancer T₄ esophagectomy was combined with resection of pancreas, paraesophageal fat, pleura, diaphragm, omentum, transverse colon, aorta adventitia. Twenty five patients with disseminated process and distant metastasis underwent esophagectomy and resection of solitary liver, lung, omentum metastasis. In 6 cases original esophagojejumal bypass was performed, using laparotomy and circular stapler. We consider, that this technique reduces surgical invasion in the management of locally advanced esophageal cancer. Endoscopic self-expanding esophagealstents were placed in 241 cases of advanced esophageal cancer. There were five (2,1%) esophageal perforations. Postoperative morbidity after esophagectomy was 8,2% (7). Median survival rate increased from 4 to 12 months. Postoperative morbidity after esophagectomy and resection of solitary metastasis was 9,5% (2). Median survival rate increased from 3 to 7,5 months. Conclusion. We concluded that esophagectomy with resection of involved organs or metastasis in the management of advanced esophageal cancer T₄a, M₁ increased median survival rate.