Switch to
| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
4
|
| pubmed:dateCreated |
1993-11-16
|
| pubmed:abstractText |
As the population continues to age, older patients are being referred for thoracic surgical procedures with increasing frequency. From 1985 through 1992, 38 patients (32 men, 6 women) 70 years of age or older underwent esophagectomy for primary esophageal carcinoma. Histologic findings included adenocarcinoma in 28 (74%) and squamous carcinoma in 10 (26%). Patients suffered dysphagia for a mean of 3.8 months (range, 0 to 30 months) and had a mean weight loss of 5.8 kg (range, 0 to 22 kg). The tumors ranged from 1 to 14 cm in length and averaged 4.7 cm. Preoperative chemotherapy and radiation therapy were administered in 11 patients (46%). Clinical staging suggested all patients were curable, and esophagectomy was performed in a transthoracic fashion in 27 (71%) and from a transhiatal approach in 11 (29%). Cervical anastomoses were undertaken in 16 patients (42%). The mean blood loss was 1,165 mL and ranged from 500 to 4,000 mL. The mean number of transfused units was 2.3 (range 0 to 8 U). Overall operative mortality was 18% (7 of 38). Major morbidity included pneumonia in 11 (29%), anastomotic leak in 4 (11%), chylothorax in 4 (11%), pulmonary embolus in 3 (8%), and stroke and myocardial infarction in 1 patient each (3%). Three patients have been cured of their esophageal cancer with survivals of 65, 70, and 72 months and an additional 7 patients are still alive. Three patients (8%) have been lost to follow-up.(ABSTRACT TRUNCATED AT 250 WORDS)
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
AIM
|
| pubmed:status |
MEDLINE
|
| pubmed:month |
Oct
|
| pubmed:issn |
0003-4975
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
56
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
880-3; discussion 883-4
|
| pubmed:dateRevised |
2004-11-17
|
| pubmed:meshHeading |
pubmed-meshheading:8215664-Adenocarcinoma,
pubmed-meshheading:8215664-Age Factors,
pubmed-meshheading:8215664-Aged,
pubmed-meshheading:8215664-Aged, 80 and over,
pubmed-meshheading:8215664-Blood Loss, Surgical,
pubmed-meshheading:8215664-Carcinoma, Squamous Cell,
pubmed-meshheading:8215664-Esophageal Neoplasms,
pubmed-meshheading:8215664-Esophagectomy,
pubmed-meshheading:8215664-Female,
pubmed-meshheading:8215664-Humans,
pubmed-meshheading:8215664-Male,
pubmed-meshheading:8215664-Postoperative Complications,
pubmed-meshheading:8215664-Survival Rate
|
| pubmed:year |
1993
|
| pubmed:articleTitle |
Esophagectomy in the septuagenarian.
|
| pubmed:affiliation |
Department of Surgery, St. Louis University Medical Center, MO 63110-0250.
|
| pubmed:publicationType |
Journal Article
|