Surgical treatment of perforation with esophageal carcinoma

Abstract

OBJEcrI~ To determine the, ideal methact of s~gicat: preoperative treab rne~t, for perforation wi~ eso~ageal carcino.ma~. 36 cases of perforation with esophageal carcinoma were. treated, surgically in this series. Perforations occurred into the right lung in 14 cases, the mediastinum in 17 cases ar~ trachea in 5 cases. Open thoracic surgery was ~ in 34 cases, in which" the right thoracic approach, using a 3-incision method was appliL-=d in 16 cases, and oper~ation by stages in 15 cases. Of the 34 cases, retrosternal, substitution, of the esophagus with stomach or colon was performed in 26 cases. I~F~L't~ Surge~ was successful in 31 cases and operative death occurred in 3 cases. The postoperative follow up study was from 3-72 months. Of these cases 15 were alive at 7-12 months, 2 at 24 months, and 1 at 72 months. The results can be considered satisfactory. CONCLUSION The -therapeutic results of surgical treatment of perforation • with esophageal carcinoma were markedly superior to that of conventional, oonservati~e Izeatment. The authors suggest that surgical inte~entio~ witheL~t~ de~ay should be undertaken for patients having a perforation with carcinoma o,f ~e esophagus. A right thoracic approach with a 3-incision method (retros'[ernat replacement of esophagus with stomach or colon) or operation by stages is preferable.

Disease- and treatment-related complication on F-18-Fluorodeoxyglucose positron emission tomography/computed tomography in oncology practice: A pictorial review

“…Perforation in the esophageal cancer could be iatrogenic resulting from dilatation of the narrowed esophagus, radiotherapy related or due to advanced stage of progressive esophageal carcinoma. [ 14 ] Symptoms and signs of EP are variable and non-specific in many patients. A missed diagnosis and first diagnosis at autopsy are described in 17% of cases.…”