Outcomes after Transhiatal Esophagectomies in an Eastern-European Low-Volume Center

Radu NEAGOE; Daniela Tatiana SALA; Serban BANCU; Septimu VOİDAZAN; Mihaly SZOCS; Gheorghe MULHFAY

Makale detayları

Outcomes after Transhiatal Esophagectomies in an Eastern-European Low-Volume Center

Yazarlar:

Radu NEAGOE | Daniela Tatiana SALA | Serban BANCU | Septimu VOİDAZAN | Mihaly SZOCS | Gheorghe MULHFAY

Yayıncı:

Trakya University

Dergi:

Balkan Medical Journal 2015 Vol.32 Issue 1, pp.38-45

Belge Tipi:

Makale

Yayın Tarihi:

12/2014

Belge Dili:

Türkçe

Document ID (Org No.):

2000759918

Sıklık:

İki Aylık

pISSN:

2146-3123

Özet:

 

Background: The present study proposes to analyze the results obtained after transhiatal esophagectomies (THE), from the perspective of an Eastern European surgical center with low esophageal resection volume (LV).     Aims: Our analysis, which to the authors’ knowledge is the first of its kind in Romania, has the purpose of comparing our results with those obtained in higher or similar volume centers, in order to derive conclusions regarding the quality of therapeutic management for patients diagnosed with esophageal cancer in Romania.     Study Design: Retrospective observational study.     Methods: In total, 70 patients were included, in whom THE was performed during the period 1997-2013 by six senior surgeons. The majority of our patients had esophageal cancers (n=66; 94.3%); we also performed 4 THE procedures for benign conditions (n=3; 4.27%) and esophageal perforation (n=1; 1.42%).     Results: The majority of cancer-group patients had T3/N+ tumors. The nodal involvement in the T2, T3 and T4 categories was 9.9%, 21.6% and 35.1%, respectively. Complications were identified in 45 patients (68.2%), with the majority being represented by pulmonary complications (16 patients; 24.3%) and cervical leaks (15 cases; 22.7%). In-hospital mortality was 9.09%. We found a one-year overall survival rate of 58.7% (95%CI: 51.7-65.7%), 27.2% at 2 years (95%CI: 21.2-36.2%) and 10.5% at 3 years (95%CI: 6.5-14.5%). The median survival rate was estimated to be 16 months.     Conclusion: Morbidity and in-hospital mortality after THE was performed in low-volume centers, despite being significantly higher than reported in HV centers, could be kept at reasonable rates. In our opinion, the measures which have the potential to raise the standard of care for patients diagnosed with esophageal cancer in Romania are represented by the standardization of therapeutic and diagnostic protocols for esophageal cancer and the centralization of these major oncologic interventions in surgical excellence centers.

Makale detayları

Outcomes after Transhiatal Esophagectomies in an Eastern-European Low-Volume Center

Yazarlar: Radu NEAGOE | Daniela Tatiana SALA | Serban BANCU | Septimu VOİDAZAN | Mihaly SZOCS | Gheorghe MULHFAY

Yayıncı: Trakya University

Dergi: Balkan Medical Journal 2015 Vol.32 Issue 1, pp.38-45

Belge Tipi: Makale

Yayın Tarihi: 12/2014

Belge Dili: Türkçe

Document ID (Org No.): 2000759918

Sıklık: İki Aylık

pISSN: 2146-3123

Sayı

Yazarlar:

Radu NEAGOE | Daniela Tatiana SALA | Serban BANCU | Septimu VOİDAZAN | Mihaly SZOCS | Gheorghe MULHFAY

Yayıncı:

Trakya University

Dergi:

Balkan Medical Journal 2015 Vol.32 Issue 1, pp.38-45

Belge Tipi:

Makale

Yayın Tarihi:

12/2014

Belge Dili:

Türkçe

Document ID (Org No.):

2000759918

Sıklık:

İki Aylık

pISSN:

2146-3123