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Clinical outcomes of thoracoscopic salvage esophagectomy after definitive chemoradiotherapy for esophageal cancer Masashi TAKEMURA 1 , Yushi FUJIWARA 2 , Kayo YOSHIDA 1 , keiichirou MORIMURA 1 , Masayuki HIGASHINO 3 , Teruyuki IKEHARA 1 1Department of Gastroenterological Surgery, Osaka City General Hospital 2Department of Surgery, Osaka City Jyuso Hospital 3Department of Surgery, Minami Osaka Hospital Keyword: 根治的放射線化学療法 , サルベージ食道切除 , 胸腔鏡下食道切除術 pp.739-744
Published Date 2010/12/15
DOI https://doi.org/10.11477/mf.4426100557
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 We examined the clinical outcomes of thoracoscopic salvage esophagectomy after definitive chemoradiotherapy for esophageal cancer. We reviwed 22 patients who underwent thoracoscopic salvage esophagectomy from January, 2003 to December, 2008, in our department. Two cases resulted in R 2 surgery because of trachea invasion. The average duration of operation was 333 minutes, and amount of blood loss was 469 g. The most frequent postoperative complication was anastomotic leakage. Leakage developed in seven cases, and pneumonia developed in two cases. There were no cases of trachea necrosis, nor hospital mortality. Recurrent disease was found in eight cases, lymph node recurrence in four, hematogenous recurrence in three, dissemination recurrence in one. A 1-year survival rate was 78.3%, and 3-year survival rate was 54.2%, respectively. The prognosis of the cases with clinical Stage IV before treatment was significantly poor than the other cases. Thoracoscopic salvage esophagectomy can be performed safely, but the incidence of the anastmotic leakage is high. The esophageal reconstruction require's technical improvement in such cases. Further experiences may be needed to clarify the usefulness of this operation.


Copyright © 2010, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.

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電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

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