Transhiatal Esophagectomy: A Preferred Procedure In Stage Iii Disease Of Lower End Of Esophagus | [Journal of Medical Science • 2015]

Author(s):

1. Muhammad Muslim: Department of Surgery, Khyber Teaching Hospital, Peshawar, Pakistan

2. Mushtaq Ahmad: Department of Surgery, Khyber Teaching Hospital, Peshawar, Pakistan

3. Nisar Ahmad: Department of Surgery, Khyber Teaching Hospital, Peshawar, Pakistan

4. Rashid Waheed: Department of Surgery, Khyber Teaching Hospital, Peshawar, Pakistan

5. Mahmud Aurangzeb: Department of Surgery, Khyber Teaching Hospital, Peshawar, Pakistan

6. Muhammad Attaullah Khan: Department of Surgery, Khyber Teaching Hospital, Peshawar - Pakistan

7. Saqib Saleem Afridi: Department of Surgery, Khyber Teaching Hospital, Peshawar, Pakistan

8. Zainab Mahsal Khan: Department of Surgery, Khyber Teaching Hospital, Peshawar, Pakistan

Abstract:

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. Conclusion: It is a relatively safe procedure with lower morbidity and mortality in patients with stage III disease of the lower end of esophagus with a good yield of lymph nodes if performed by experienced surgeons in a high volume centre.

Page(s): 220-223

DOI: DOI not available

Published: Journal: Journal of Medical Science, Volume: 23, Issue: 4, Year: 2015

Keywords:

morbidity , Dysphagia , Anastomotic leak , Trans Hiatal Esophagectomy , Esophageal cancer

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