Comprehensive Registry of Esophageal Cancer in Japan, 2009

Tachimori, Yuji; Ozawa, Soji; Numasaki, Hodaka; Fujishiro, Mitsuhiro; Matsubara, Hisahiro; Oyama, Tsuneo; Sekiguchi, Masayuki; Toh, Yasushi; Udagawa, Harushi; Umemura, Takashi

doi:10.1007/s10388-016-0531-y

Cited by 120 publications

(57 citation statements)

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“…It has been reported that the 5-year survival rate post-esophagectomy was 52% for patients with no residual tumor, but decreased to only 14% if residual tumors were present27. To increase the possibility of complete resection, more than 85% of patients with T2-3N (+) and T4 who underwent surgical resection received (neo-) adjuvant treatment in our hospital.…”

Section: Discussionmentioning

confidence: 93%

Survival benefit of surgery to patients with esophageal squamous cell carcinoma

Chen

et al. 2017

Sci Rep

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To assess if surgery provided survival benefit to patients with esophageal squamous cell carcinoma (SCC), we performed a retrospective review of 1230 patients who were newly diagnosed with stage T2-T4 esophageal SCC from 2007 to 2014 in our hospital. There were greater than 70% of patients with age under 65 years, and more than 85% were stage T3-T4 at the time of diagnosis. The median survival time was 1.06 year (95% CI 0.99–1.1 yrs). Survival analyses showed that survival time was significantly associated with age, T stage, clinical lymph node involvement and treatment modality (surgery versus definite chemoradiotherapy). Surgery still possessed a powerful impact on overall survival by multivariable analysis. Death risk of patients treated with curative surgery was significantly lower than those with definite chemoradiotherapy. Furthermore, for patients of stage T3N(+) and T4, surgery combined with (neo-)adjuvant treatment were significantly associated with higher survival rate than surgery alone or definite chemoradiotherapy. In conclusion, the patients who undergo surgery were significantly associated longer survival, therefore, curative resection should be considered for esophageal cancer patients who are medically fit for surgery. Moreover, combined with (neo-)adjuvant treatment is recommended for surgically resectable stage T3-T4 esophageal SCC.

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Section: Discussionmentioning

confidence: 93%

Survival benefit of surgery to patients with esophageal squamous cell carcinoma

Chen

et al. 2017

Sci Rep

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“…Cervical esophageal cancer is relatively uncommon, representing 4.4% of all esophageal cancers . Because the majority of these patients are diagnosed with locally advanced disease, which may invade into adjacent organs, its prognosis is believed to be poor.…”

Section: Introductionmentioning

confidence: 99%

Clinical results of definitive chemoradiotherapy for cervical esophageal cancer: Comparison of failure pattern and toxicities between intensity‐modulated radiotherapy and 3‐dimensional conformal radiotherapy

et al. 2017

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“…According to a national cancer registry in Japan, reconstructions using the jejunum accounted for 5.4% of all esophageal cancer resections [11]. The incidence of incisional hernia after this surgery was unclear.…”

Section: Discussionmentioning

confidence: 99%

A case of incisional hernia repair using Composix mesh prosthesis after antethoracic pedicled jejunal flap reconstruction following an esophagectomy

Yasuda

Katô

et al. 2017

surg case rep

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BackgroundAn incisional hernia in a case of antethoracic pedicled jejunal flap esophageal reconstruction after esophagectomy is a very rare occurrence, and this hernia was distinctive in that the reconstructed jejunum had passed through the hernial orifice; a standard surgical treatment for such a presentation has not been established. Herein, we describe a case of repair using mesh prosthesis for an atypical and distinctive incisional hernia after antethoracic pedicled jejunal flap esophageal reconstruction.Case presentationA 77-year-old woman with a history of subtotal esophagectomy who had undergone antethoracic pedicled jejunal flap reconstruction complained of epigastric prominence and discomfort without pain. On examination, she had an abdominal protrusion between the xiphoid process and the umbilicus that contained the small bowel. Computed tomography showed that the fenestration of the abdominal wall that was intentionally created for jejunum pull-up was dehisced in a region measuring 9 × 15 cm and the small intestine protruded through it into the subcutaneous space without strangulation. Because the hernial orifice was too large and the reconstructed jejunum was passing through the hernial orifice in this case, we applied a parastomal hernia repair method that was modified from the inguinal hernia repair using the Lichtenstein technique. After 3 years and 5 months following surgery, the patient has recovered without hernia recurrence or other complications.ConclusionWe consider this to be the first case of repair using Composix mesh prosthesis for repair of an atypical and distinctive incisional hernia after an antethoracic pedicled jejunal flap reconstruction. This method seems to be useful and could potentially be widely adopted as the surgical treatment for this condition.

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Comprehensive Registry of Esophageal Cancer in Japan, 2009

Cited by 120 publications

References 0 publications

Survival benefit of surgery to patients with esophageal squamous cell carcinoma

Survival benefit of surgery to patients with esophageal squamous cell carcinoma

Clinical results of definitive chemoradiotherapy for cervical esophageal cancer: Comparison of failure pattern and toxicities between intensity‐modulated radiotherapy and 3‐dimensional conformal radiotherapy

A case of incisional hernia repair using Composix mesh prosthesis after antethoracic pedicled jejunal flap reconstruction following an esophagectomy

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