Abstract
Objective To compare the clinical outcomes of patients with Type II gastroesophageal junction adenocarcinoma undergoing radical resection transthoracic or transhiatal. Method 198 patients with Type II GEJA were selected from Mar. 2003 to Apr. 2008. 108 patients received transhiatal cancer resection and 90 patients received transthoracic cancer resection. General clinical characteristics, operative time, hemorrhage volume, complications, Pathological characteristics, Postoperative chemoradiotherapy, in-hospital mortality, 5-year survival were compared between two groups. Results No significant difference was found on general clinical characteristics (P>0.05) between two groups. Compared with transthoracic group, the operation time was significantly shorter in transhiatal group (P 0.05). There was no significant difference on 5-year survival rate between two groups. Conclusion In-hospital complications more frequently happened in transthoracic group. More esophagus and mediastinal lymph nodes can be removed and positive incisal margins of esophagus was less in transthoracic group, however, the 5-year survival rate was not improve. Transthoracic surgery was not recommended for patients with Type II GEJA.
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
