Skip to main content
Annals of The Royal College of Surgeons of England logoLink to Annals of The Royal College of Surgeons of England
. 1985 Nov;67(6):344–348.

Abdominocervical oesophagectomy in the elderly.

R C Williamson
PMCID: PMC2498090  PMID: 4073762

Abstract

Abdominocervical (transhiatal) oesophagectomy was carried out in 8 patients. Five of 6 with oesophageal cancer were elderly (aged 75-88 years), and one was 59 years old. Two patients (aged 54 and 74 years) had recurrent achalasia and megaoesophagus 30 years after cardiomyotomy. Chest complications were common, but there were no anastomotic leaks and no deaths. In 2 patients with large paraoesophageal hiatal hernias oesophagectomy had not been planned; the procedure was undertaken for an unexpected carcinoma of the cardia and an oesophageal tear. Three patients have died of recurrent cancer at 12, 17 and 21 months. The 5 survivors are swallowing satisfactorily, although one has required two dilatations of an anastomotic stricture.

Full text

PDF
345

Images in this article

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Akiyama H., Tsurumaru M., Kawamura T., Ono Y. Principles of surgical treatment for carcinoma of the esophagus: analysis of lymph node involvement. Ann Surg. 1981 Oct;194(4):438–446. doi: 10.1097/00000658-198110000-00007. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Dark J. F., Mousalli H., Vaughan R. Surgical treatment of carcinoma of the oesophagus. Thorax. 1981 Dec;36(12):891–895. doi: 10.1136/thx.36.12.891. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Earlam R., Cunha-Melo J. R. Oesophageal squamous cell carcinoma: I. A critical review of surgery. Br J Surg. 1980 Jun;67(6):381–390. doi: 10.1002/bjs.1800670602. [DOI] [PubMed] [Google Scholar]
  4. Ellis F. H., Jr, Gibb S. P., Crozier R. E. Esophagomyotomy for achalasia of the esophagus. Ann Surg. 1980 Aug;192(2):157–161. doi: 10.1097/00000658-198008000-00004. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Ellis F. H., Jr, Gibb S. P. Esophagogastrectomy for carcinoma: current hospital mortality and morbidity rates. Ann Surg. 1979 Dec;190(6):699–705. doi: 10.1097/00000658-197912000-00005. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Ellis F. H., Jr, Gibb S. P. Reoperation after esophagomyotomy for achalasia of the esophagus. Am J Surg. 1975 Apr;129(4):407–412. doi: 10.1016/0002-9610(75)90185-3. [DOI] [PubMed] [Google Scholar]
  7. Jara F. M., Toledo-Pereyra L. H., Lewis J. W., Magilligan D. J., Jr Long-term results of esophagomyotomy for achalasia of esophagus. Arch Surg. 1979 Aug;114(8):935–936. doi: 10.1001/archsurg.1979.01370320067011. [DOI] [PubMed] [Google Scholar]
  8. Kirk R. M. A trial of total gastrectomy, combined with total thoracic oesophagectomy without formal thoracotomy, for carcinoma at or near the cardia of the stomach. Br J Surg. 1981 Aug;68(8):577–579. doi: 10.1002/bjs.1800680817. [DOI] [PubMed] [Google Scholar]
  9. Kirk R. M. Palliative resection of oesophageal carcinoma without formal thoracotomy. Br J Surg. 1974 Sep;61(9):689–690. doi: 10.1002/bjs.1800610904. [DOI] [PubMed] [Google Scholar]
  10. Kron I. L., Cantrell R. W., Johns M. E., Joob A., Minor G. Computerized axial tomography of the esophagus to determine the suitability for blunt esophagectomy. Ann Surg. 1984 Aug;200(2):173–174. doi: 10.1097/00000658-198408000-00009. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Le Quesne L. P., Ranger D. Pharyngolaryngectomy, with immediate pharyngogastric anastomosis. Br J Surg. 1966 Feb;53(2):105–109. doi: 10.1002/bjs.1800530206. [DOI] [PubMed] [Google Scholar]
  12. McKeown K. C. Carcinoma of the oesophagus. J R Coll Surg Edinb. 1979 Sep;24(5):253–274. [PubMed] [Google Scholar]
  13. McKeown K. C. Trends in oesophageal resection for carcinoma with special reference to total oesophagectomy. Ann R Coll Surg Engl. 1972 Oct;51(4):213–239. [PMC free article] [PubMed] [Google Scholar]
  14. ONG G. B., LEE T. C. Pharyngogastric anastomosis after oesophago-pharyngectomy for carcinoma of the hypopharynx and cervical oesophagus. Br J Surg. 1960 Sep;48:193–200. doi: 10.1002/bjs.18004820823. [DOI] [PubMed] [Google Scholar]
  15. Okike N., Payne W. S., Neufeld D. M., Bernatz P. E., Pairolero P. C., Sanderson D. R. Esophagomyotomy versus forceful dilation for achalasia of the esophagus: results in 899 patients. Ann Thorac Surg. 1979 Aug;28(2):119–125. doi: 10.1016/s0003-4975(10)63767-8. [DOI] [PubMed] [Google Scholar]
  16. Orringer M. B., Orringer J. S. Esophagectomy: definitive treatment for esophageal neuromotor dysfunction. Ann Thorac Surg. 1982 Sep;34(3):237–248. doi: 10.1016/s0003-4975(10)62492-7. [DOI] [PubMed] [Google Scholar]
  17. Orringer M. B., Sloan H. Esophagectomy without thoracotomy. J Thorac Cardiovasc Surg. 1978 Nov;76(5):643–654. [PubMed] [Google Scholar]
  18. Orringer M. B. Transhiatal esophagectomy without thoracotomy for carcinoma of the thoracic esophagus. Ann Surg. 1984 Sep;200(3):282–288. doi: 10.1097/00000658-198409000-00005. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Sannohe Y., Hiratsuka R., Doki K. Lymph node metastases in cancer of the thoracic esophagus. Am J Surg. 1981 Feb;141(2):216–218. doi: 10.1016/0002-9610(81)90160-4. [DOI] [PubMed] [Google Scholar]
  20. Skinner D. B. En bloc resection for neoplasms of the esophagus and cardia. J Thorac Cardiovasc Surg. 1983 Jan;85(1):59–71. [PubMed] [Google Scholar]
  21. Sugimachi K., Matsuzaki K., Matsuura H., Kuwano H., Ueo H., Inokuchi K. Evaluation of surgical treatment of carcinoma of the oesophagus in the elderly: 20 years' experience. Br J Surg. 1985 Jan;72(1):28–30. doi: 10.1002/bjs.1800720113. [DOI] [PubMed] [Google Scholar]
  22. Thomas A. N., Dedo H. H. Pharyngogastrostomy for treatment of severe caustic stricture of the pharynx and esophagus. J Thorac Cardiovasc Surg. 1977 Jun;73(6):817–824. [PubMed] [Google Scholar]

Articles from Annals of The Royal College of Surgeons of England are provided here courtesy of The Royal College of Surgeons of England

RESOURCES