Resultados de la esofaguectomía en 53 pacientes con adenocarcinoma del esófago y Barrett extenso

Background: The incidence of esophageal carcinoma has increased notoriously worldwide. Aim: To assess clinical features, immediate surgical results and long term survival of patients with esophageal carcinoma and Barrett esophagus. Material and Methods: Retrospective review of medical records of all...

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Autores principales:	Csendes J,Attila, Braghetto M,Italo, Cardemil H,Gonzalo, Cortés L,Solange, Musleh K,Maher
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad de Cirujanos de Chile 2013
Materias:	Esophageal cancer Barrett esophagus surgery Adenocarcinoma de esófago Barrett cirugía
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718-40262013000200004
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spelling	oai:scielo:S0718-402620130002000042014-09-16Resultados de la esofaguectomía en 53 pacientes con adenocarcinoma del esófago y Barrett extensoCsendes J,AttilaBraghetto M,ItaloCardemil H,GonzaloCortés L,SolangeMusleh K,Maher Esophageal cancer Barrett esophagus surgery Adenocarcinoma de esófago Barrett cirugía Background: The incidence of esophageal carcinoma has increased notoriously worldwide. Aim: To assess clinical features, immediate surgical results and long term survival of patients with esophageal carcinoma and Barrett esophagus. Material and Methods: Retrospective review of medical records of all patients operated for esophageal carcinoma, between 1996 y 2011. Results: The records of 53 patients aged 58 ± 9 years (45 males) were analyzed. The number of operated patients increased from 7 in the period 1968-1983 to 31 in the period 2004-2011. Peritoneal metastases were found in two patients, precluding a resection. Video assisted trans-hiatal approach was the most commonly used technique followed by minimally invasive thoracoscopic and laparoscopic surgery. Transit reconstruction was performed ascending the stomach to the neck in 90% of patients. The average length of Barrett esophagus was 7.4 cm and the mean number of excised lymph nodes was 19. Ten patients had an incipient cancer and their five years survival was 80%. The survival of those with tumors involving the muscular layer and those with transmural cancer was 25 and 5%, respectively. Conclusions: There is an increase in the incidence of esophageal cancer in the last 10 years. The survival after surgery is highly dependent on the invasiveness of the tumor.info:eu-repo/semantics/openAccessSociedad de Cirujanos de ChileRevista chilena de cirugía v.65 n.2 20132013-04-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718-40262013000200004es10.4067/S0718-40262013000200004
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Esophageal cancer Barrett esophagus surgery Adenocarcinoma de esófago Barrett cirugía
spellingShingle	Esophageal cancer Barrett esophagus surgery Adenocarcinoma de esófago Barrett cirugía Csendes J,Attila Braghetto M,Italo Cardemil H,Gonzalo Cortés L,Solange Musleh K,Maher Resultados de la esofaguectomía en 53 pacientes con adenocarcinoma del esófago y Barrett extenso
description	Background: The incidence of esophageal carcinoma has increased notoriously worldwide. Aim: To assess clinical features, immediate surgical results and long term survival of patients with esophageal carcinoma and Barrett esophagus. Material and Methods: Retrospective review of medical records of all patients operated for esophageal carcinoma, between 1996 y 2011. Results: The records of 53 patients aged 58 ± 9 years (45 males) were analyzed. The number of operated patients increased from 7 in the period 1968-1983 to 31 in the period 2004-2011. Peritoneal metastases were found in two patients, precluding a resection. Video assisted trans-hiatal approach was the most commonly used technique followed by minimally invasive thoracoscopic and laparoscopic surgery. Transit reconstruction was performed ascending the stomach to the neck in 90% of patients. The average length of Barrett esophagus was 7.4 cm and the mean number of excised lymph nodes was 19. Ten patients had an incipient cancer and their five years survival was 80%. The survival of those with tumors involving the muscular layer and those with transmural cancer was 25 and 5%, respectively. Conclusions: There is an increase in the incidence of esophageal cancer in the last 10 years. The survival after surgery is highly dependent on the invasiveness of the tumor.
author	Csendes J,Attila Braghetto M,Italo Cardemil H,Gonzalo Cortés L,Solange Musleh K,Maher
author_facet	Csendes J,Attila Braghetto M,Italo Cardemil H,Gonzalo Cortés L,Solange Musleh K,Maher
author_sort	Csendes J,Attila
title	Resultados de la esofaguectomía en 53 pacientes con adenocarcinoma del esófago y Barrett extenso
title_short	Resultados de la esofaguectomía en 53 pacientes con adenocarcinoma del esófago y Barrett extenso
title_full	Resultados de la esofaguectomía en 53 pacientes con adenocarcinoma del esófago y Barrett extenso
title_fullStr	Resultados de la esofaguectomía en 53 pacientes con adenocarcinoma del esófago y Barrett extenso
title_full_unstemmed	Resultados de la esofaguectomía en 53 pacientes con adenocarcinoma del esófago y Barrett extenso
title_sort	resultados de la esofaguectomía en 53 pacientes con adenocarcinoma del esófago y barrett extenso
publisher	Sociedad de Cirujanos de Chile
publishDate	2013
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718-40262013000200004
work_keys_str_mv	AT csendesjattila resultadosdelaesofaguectomiaen53pacientesconadenocarcinomadelesofagoybarrettextenso AT braghettomitalo resultadosdelaesofaguectomiaen53pacientesconadenocarcinomadelesofagoybarrettextenso AT cardemilhgonzalo resultadosdelaesofaguectomiaen53pacientesconadenocarcinomadelesofagoybarrettextenso AT corteslsolange resultadosdelaesofaguectomiaen53pacientesconadenocarcinomadelesofagoybarrettextenso AT muslehkmaher resultadosdelaesofaguectomiaen53pacientesconadenocarcinomadelesofagoybarrettextenso
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Resultados de la esofaguectomía en 53 pacientes con adenocarcinoma del esófago y Barrett extenso

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