Retrosternal esophagocoloplasty with transverse isoperistaltic: Time before radical esophagectomy or exclusively antidysphageal method. Experience on 15 cases.
Esofagocoloplastia retroesternal con transverso isoperistáltico: Tiempo previo de la esofagectomía radical o método antidisfágico exclusivamente. Experiencia sobre 15 casos.
Resumen:
15 patients with esophageal cancer (a lmost al1 of \hem oí thp. rnlddle third), without prcvious selecUOI:, were trea{ed by rctrosternal coloplastia wlth isoperistaltic tnms....erse colon. Four of them, who we~ cO~lsldered resectable, were submitted to secondary esophagectomy 4 weeks later. Slx out 01 the total died within one m!lnth arter operation, 5 01 tht!m due to direct complicatlons oí surge:ry; the othcr nine !lurvived from 4 to 19 months without recurrence of the dysphagia. The value ol the procedure as a palliative is remarked, for It considerably improves the Quallty ol lhe survivaL
15 pacientes portadores de cáncer de esófago (casi todos de 1/3 medio), sin selección previa, fueron tratados por coloplastia retroesternal con colon transverso isoperistáltico. 4 d-.e ellos considerados como resecables, se sometieron a esofagectomÍas secundarias 4 semanas después. Seis enfermos del total murieron dentro del m-:es de operados: 5 de ellos por complicaciones directas de los actos operatorios; los 9 restantes Sobrevivieron entre 4 y 19 meses, sin reeidiva de la disfagia. Se destaca el valor del procedimiento como paJiath1o, ya qué mejora sustancialmente la calidad de la sobrevida obtenida.
1975 | |
essófago tumores esophagus tumors |
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Español | |
Sociedad de Cirugía del Uruguay | |
Revista Cirugía del Uruguay | |
https://revista.scu.org.uy/index.php/cir_urug/article/view/2861 | |
Acceso abierto |
Sumario: | 15 patients with esophageal cancer (a lmost al1 of \hem oí thp. rnlddle third), without prcvious selecUOI:, were trea{ed by rctrosternal coloplastia wlth isoperistaltic tnms....erse colon. Four of them, who we~ cO~lsldered resectable, were submitted to secondary esophagectomy 4 weeks later. Slx out 01 the total died within one m!lnth arter operation, 5 01 tht!m due to direct complicatlons oí surge:ry; the othcr nine !lurvived from 4 to 19 months without recurrence of the dysphagia. The value ol the procedure as a palliative is remarked, for It considerably improves the Quallty ol lhe survivaL |
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