Experiences of About 3,000 Cases With Cancer of the Oesophagus and the Cardia

Nakayama, K; Hirota, K.

doi:10.1111/j.1445-2197.1962.tb03266.x

Cited by 16 publications

(5 citation statements)

References 5 publications

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“…Em nossa série, as ressecções de carcinoma de células escamosas em qualquer porção do esôfago foram realizadas em maior número por esofagectomias via transpleural, pois seguíamos a seqüência traçada pela técnica de Nakayama [8][9][10] . Só posteriormente, viemos a empregar a via transdiafragmática.…”

Section: Discussionunclassified

A fístula esôfago-gástrica cervical

Orsi¹,

Orsi

Carvalho

et al. 2003

Rev. Col. Bras. Cir.

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OBJETIVO: Analisar a presença de fístula esôfago-gástrica cervical nos pacientes submetidos a esofagectomias por câncer após reconstrução do trânsito digestivo com o estômago nas três vias: pré-esternal, retro-esternal e mediastino posterior. MÉTODO: Em um total de 180 pacientes portadores de carcinoma de células escamosas de esôfago torácico, tratados no Hospital Geral de Nova Iguaçu e no Hospital EMCOR, de agosto de 1968 a março de 2000, foram realizadas 97 esofagectomias e 70 (72,16%) reconstruções do trânsito digestivo. O tratamento considerado foi essencialmente cirúrgico através da esofagectomia transpleural direita e da esofagectomia transhiatal. A anastomose esôfago-gástrica cervical foi realizada inicialmente em parede anterior do estômago e depois em parede posterior. Paralelamente, foram realizados estudos experimentais em cadáveres frescos no IML (Instituto Médico Legal) de Nova Iguaçu, para avaliação das dimensões das paredes gástricas e pesquisa de suas vascularizações. RESULTADOS: A incidência de fístulas ficou reduzida a 7,69%, quando se passou usar a parede posterior do estômago. A reconstrução do trânsito digestivo foi realizada em 52,86% pela via pré-esternal, 10% pela via retro-esternal e 37,14% pelo leito esofágico. As fístulas ocorreram em 20% dos pacientes (14 casos). Na via pré-esternal ocorreram 24,43% (9 casos), na via retro-esternal 42,85% (3 casos), e mediastino posterior 7,69% (2 casos).( X2= 3,39; p= 0,18) A mortalidade operatória foi de 15,71%, sendo a insuficiência respiratória sua maior causa.((X2= 3,29; p= 0,19). A sobrevida em cinco anos foi de 13,5%. CONCLUSÕES: A esofagectomia com anastomose esôfago-gástrica cervical é o nosso método de escolha. Os melhores resultados foram obtidos com a execução da anastomose esôfago-gástrica cervical na parede posterior do estômago, e através do mediastino posterior.

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Section: Discussionunclassified

A fístula esôfago-gástrica cervical

Orsi¹,

Orsi

Carvalho

et al. 2003

Rev. Col. Bras. Cir.

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“…Numerous approaches to reconstructing the thoracic oesophagus have been detailed in the literature (Garlock, 1938;Sweet, 1945;Nakayama and Hirota, 1962;Petrov, 1964;Heimlich, 1966). However, a simple procedure with minimal risks has not been reported.…”

Section: Discussionmentioning

confidence: 99%

“…The stomach has frequently been used to replace the oesophagus (Garlock, 1938;Sweet, 1945), and Nakayama and Hirota (1962) markedly lowered the operative mortality rate by using the stomach through a presternal route and by dividing the operation into three stages. The stomach has many advantages for oesophageal substitution.…”

Section: Discussionmentioning

confidence: 99%

Resection and reconstruction for carcinoma of the thoracic oesophagus

Akiyama

Hiyama

Hashimoto

1976

Journal of British Surgery

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The technique and results of oesophageal resection through a right thoracotomy and laparotomy with reconstruction utilizing the stomach via a retrosternal route are reported. Forty patients underwent this procedure, with no mortality. The average blood loss during operation was 424 ml, and 72% of this series underwent the operation without blood transfusion. It is believed that this type of one-stage operation for carcinoma of the oesophagus is reasonable from the viewpoint of adequate resection of malignancies, and it can be performed with minimal surgical risk. With experience, perhaps it will become a standard method such as the Billroth I method in gastric surgery.

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“…In addition to the aforementioned antethoracic esophagogastrostomy, Doctor Nakayama also invented a safer three‐stage procedure in which a gastrostomy is created to facilitate improving patient nutrition during the first stage. Since this method was introduced, the importance of preoperative nutritional management has been considered 7 . At the same time, preoperative radiotherapy is performed to inhibit the progression of cancer.…”

Section: Fifty Years Of Progress Since the Japanese Society For Esophmentioning

confidence: 99%

“…Since this method was introduced, the importance of preoperative nutritional management has been considered. 7 At the same time, preoperative radiotherapy is performed to inhibit the progression of cancer. The second stage of the surgery involves esophageal resection and observation of the clinical courses of the cervical esophagostomy and gastrostomy over several months to 1 year.…”

Section: Fif T Y Ye Ar S Of Prog Re Ss S In Ce the Japane S E So Cie ...mentioning

confidence: 99%

Advances in the surgical treatment of esophageal cancer since 1965

Matsubara

2020

Annals of Gastroent Surgery

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In Japan, the treatment of esophageal cancer has undergone significant development since the Japanese Society for Esophageal Diseases was established in 1965 by Doctors Komei Nakayama, Shigetsugu Katsura, and Ichiro Akakura. When the Society was established, surgery was the first‐line treatment for esophageal cancer. Since then, the Society has been led by three successive chairpersons—Doctors Katsura, Nakayama, and Satoh. Over this time, surgery‐related mortalities declined to 5%‐6% because of the rapid improvements in surgical technique. Beginning in 1980, the bilateral cervical lymph node dissection technique gained attention, and favorable long‐term outcomes were gradually reported. A nationwide questionnaire survey, conducted by the Society in 1990, showed that more favorable long‐term outcomes were achieved by following the three‐field lymph node dissection technique than by following the two‐field lymph node dissection technique. Since then, the three‐field lymph node dissection technique has been recognized and widely used as the standard surgical procedure for treating esophageal cancer. After clinical studies examined the utility of various pre‐ and postoperative adjunctive therapies in outcome improvements, preoperative chemotherapy was recognized as the standard treatment in the therapy guidelines. Additionally, less invasive surgical methods have been developed, including endoscopic and robot‐assisted surgeries, which are applied in general practice now. However, unresectable and recurrent esophageal cancers remain difficult to treat, and additional treatments should be developed.

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Experiences of About 3,000 Cases With Cancer of the Oesophagus and the Cardia

Cited by 16 publications

References 5 publications

A fístula esôfago-gástrica cervical

A fístula esôfago-gástrica cervical

Resection and reconstruction for carcinoma of the thoracic oesophagus

Advances in the surgical treatment of esophageal cancer since 1965

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