Table 38 Malignant esophageal disease (surgical procedures)
Operation (+) | Thoracoscopic and/or laparscopic procedure | EMR or ESD | |||||||
---|---|---|---|---|---|---|---|---|---|
Cases | Hospital mortality | Cases | Hospital mortality | ||||||
~30 days | 31–90 days | Total (including after 91 days mortality) | ~30 days | 31–90 days | Total (including after 91 days mortality) | ||||
Superficial cancer (T1) | 1892 | 9 (0.5) | 9 (0.5) | 22 (1.2) | 1134 | 3 (0.3) | 7 (0.6) | 14 (1.2) | 1848 |
Mucosal cancer (T1a) | 415 | 0 | 2 (0.5) | 2 (0.5) | 223 | 0 | 0 | 0 | 1514 |
Esophagectomy | 1892 | 9 (0.5) | 9 (0.5) | 22 (1.2) | 1134 | 3 (0.3) | 7 (0.6) | 14 (1.2) | 1848 |
(1) Transhiatal esophagectomy | 53 | 1 (1.9) | 1 (1.9) | 2 (3.8) | 4 | 0 | 0 | 0 | |
(2) Transthoracic (rt.) esophagectomy and reconstruction | 1579 | 5 (0.3) | 8 (0.5) | 17 (1.1) | 1037 | 2 (0.2) | 7 (0.7) | 13 (1.3) | |
(3) Transthoracic (lt.) esophagectomy and reconstruction | 43 | 0 | 0 | 0 | 7 | 0 | 0 | 0 | |
(4) Cervical esophageal resection and reconstruction | 35 | 0 | 0 | 0 | 16 | 0 | 0 | 0 | |
(5) Two-stage operation | 27 | 0 | 0 | 0 | 13 | 0 | 0 | 0 | |
(6) Others | 155 | 3 (1.9) | 0 | 3 (1.9) | 57 | 1 (1.8) | 0 | 1 (1.8) | |
(7) Not specified | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |
Advanced cancer (T2–T4) | |||||||||
Esophagectomy | 4344 | 37 (0.9) | 37 (0.9) | 105 (2.4) | 1666 | 11 (0.7) | 11 (0.7) | 32 (1.9) | 2 |
(1) Transhiatal esophagectomy | 68 | 0 | 1 (1.5) | 1 (1.5) | 7 | 0 | 0 | 0 | |
(2) Transthoracic (rt.) esophagectomy and reconstruction | 3661 | 31 (0.8) | 26 (0.7) | 78 (2.1) | 1522 | 9 (0.6) | 10 (0.7) | 27 (1.8) | |
(3) Transthoracic (lt.) esophagectomy and reconstruction | 137 | 1 (0.7) | 2 (1.5) | 3 (2.2) | 14 | 0 | 0 | 0 | |
(4) Cervical esophageal resection and reconstruction | 171 | 1 (0.6) | 2 (1.2) | 8 (4.7) | 35 | 1 (2.9) | 0 | 2 (5.7) | |
(5) Two-stage operation | 84 | 1 (1.2) | 1 (1.2) | 4 (4.8) | 25 | 0 | 0 | 0 | |
(6) Others/not specified | 223 | 3 (1.3) | 5 (2.2) | 11 (4.9) | 63 | 1 (1.6) | 1 (1.6) | 3 (4.8) | |
(7) Not specified | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |
(Depth not specified) | 11 | 1 (9.1) | 0 | 1 (9.1) | 0 | 0 | 0 | 0 | 1 |
Combined resection of other organs | 330 | 6 (1.8) | 4 (1.2) | 13 (3.9) | |||||
(1) Aorta | 2 | 0 | 0 | 0 | |||||
(2) Trachea, bronchus | 24 | 0 | 0 | 1 (4.2) | |||||
(3) Lung | 77 | 3 (3.9) | 2 (2.6) | 6 (7.8) | |||||
(4) Others | 227 | 3 (1.3) | 2 (0.9) | 6 (2.6) | |||||
Unknown | 0 | 0 | 0 | 0 | |||||
Salvage surgery | 262 | 4 (1.5) | 4 (1.5) | 10 (3.8) | 55 | 0 | 2 (3.6) | 2 (3.6) | 26 |
Values in parenthesis represent mortality %