Analysis of surgical treatment effects for 240 cases with early esophageal carcinoma

Abstract

Objective To study the effects of radical surgical treatment for early esophageal cancer, and to investigate the prevention and cure of their complications, cancer recurrence and metastasis. Methods Treatments of 240 patients with early esophageal cancer of Chinese PLA General Hospital from January 2005 to January 2009 were retrospectively analyzed. The patients were treated by left thoracotomy, thoracic or cervical mechanical anastomosis surgical methods of treatment. Their postoperative adverse reactions, complications and 1-, 3-, 5-year survival rates were observed and analyzed. Results The surgical resection rate was 100.00%. Complications included postoperative pulmonary infection (12 patients, 5.00%), cardiac arrhythmias (1 patient, 0.42%), delayed gastric emptying (2 patients, 0.83%), pleural hemorrhage (1 patient, 0.42%), recurrent laryngeal nerve injury (2 patients, 0.83%) and anastomotic fistula (1 patient, 0.42%). One-year, 3-year and 5-year survival rates after surgery were 100.00% (240/240), 97.9% (235/240) and 95.8% (230/240) respectively. The main causes of postoperative death were tumor recurrence and metastasis. Conclusion Timely surgery for early esophageal cancer can bring in good effect and long-term outcome, with little complication, which can obtain a good forward curative effect. Key words: Esophageal neoplasms; Surgical procedures, operative; Treatment outcome; Survival rate