J.Jpn. Surg. Soc.. 87(9): 1044-1046, 1986

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Report on the annual meeting

PROBLEMS CONCERNING OPERATION FOR CARCINOMA OF CERVICAL ESOPHAGUS

In forty-seven patients with cervical esophageal carcinoma who had resective surgery, one-and 3-year survival rates were 67.3 and 38.0%, respectively. These patients were divided into 2 groups : the group A consisted of 22 patients whose cervical esophagus was reconstructed with free jejunal or myocutaneous graft, and the group B had 25 patients who received blunt dissection of the esophagus and reconstructed with the stomach. Survival rates of the group A were 71.8% for 1 year and 63.2% for 3 year, and those of the group B were 47.8% for 1 year and 26.9% for 3 year. The group A showed better survival rate than the group B.
Five patients belonged to the group B had additional cancer, and 2 had the skipped lesion in the thoracic esophagus, but one patient belonged to the group A had a skipped lesion. This was due to the fact that when patient had any other lesions in the thoracic esophagus, blunt dissection of the esophagus was a choice of treatment instead of free jejunal graft. And this fact could explain the difference in the survival rates between these 2 groups.

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