Esophageal Cancer With Cirrhosis of the Liver: Results of Esophagectomy in 18 Consecutive Patients

Abstract

Although cirrhosis has a high morbidity and mortality rate, Child-Turcotte A and B cirrhosis may not contraindicate curative esophagectomy for esophageal carcinoma. However, these patients need meticulous perioperative care to avoid postoperative complications.

Safety of Pancreatic Surgery in Patients with Simultaneous Liver Cirrhosis: A Single Center Experience

“…Not surprising is that the length of hospital stay (up to 68%) and total hospital charges (up to 45%) were also increased compared to noncirrhotic patients [8]. Indeed, all authors focusing on this topic reported on an increased mortality rate in cirrhotic patients, which varied from 4 to 54% [7,8,13,14,15,16,17,18,19,20,21]. Csikesz et al [8] found that (dependent on the type of surgery: cholecystectomy, colectomy, coronary artery bypass grafting, abdominal aortic aneurysm repair) cirrhotic patients had a 3.4- to 8-fold increased risk of death, whereas those with cirrhosis along with portal hypertension experienced a 7.8- to 22.7-fold increased risk of death.…”

Extended Esophagectomy With 3-Field Lymph Node Dissection for Esophageal Cancer

“…Well-known prognostic factors of survival are as follows: R0 resection, 40 26 The metastatic lymph node ratio 52 (the ratio of invaded-removed lymph nodes) is also an independent prognostic indicator in patients with distant lymph node metastases. 53 The presence or absence of laryngeal recurrent nerve node, 27 cervical node, [25][26][27]30,41 and celiac node metastasis 26 are also useful prognosticators.…”

Mediastinoscopy-assisted esophagectomy for esophageal cancer in patients with serious comorbidities

“…Tachibana et al [32] reported postoperative morbidity and mortality rates after esophagectomy in patients with liver cirrhosis, 83.3 and 16.7%, respectively, while Lu et al [33]. reported rates of 31.3 and 25%, respectively; however, most of these patients were treated with TTE.…”

“…A few reports have addressed the frequency of complications and mortality after esophagectomy in esophageal cancer patients with liver cirrhosis [31][32][33]. Tachibana et al [32] reported postoperative morbidity and mortality rates after esophagectomy in patients with liver cirrhosis, 83.3 and 16.7%, respectively, while Lu et al [33].…”