Late reoperation in patients with carcinoma of the esophagus and cardia
Pesková, M.; Blazek, O.
Rozhledy V Chirurgii Mesicnik Ceskoslovenske Chirurgicke Spolecnosti 68(2): 67-71
1989
ISSN/ISBN: 0035-9351 PMID: 2470156 Document Number: 343891
The authors give an account of 17 late re-operations performed after 14 resections and three palliative operations of carcinoma of the oesophagus and cardia, on account of stenosis of the anastomosis. After primary resection on account of carcinoma of the cardia 9 patients were re-operated and on account of carcinoma of the oesophagus five patients: three times because of a cicatricial stenosis and 11 times on account of narrowing of the anastomosis due to a relapse of the oesophageal tumour or in the surrounding nodes. The interval after resection was on average 13.7 months. Re-resection was possible only in two patients, seven times an endoprosthesis was introduced, three times a bypass was made, once jejunostomy and once the operation ended by probatory laparotomy. The mortality of all re-operations was 35.7%, the survival was 6-11 months.