@Article{Łochowski2017,
journal="Gastroenterology Review/Przegląd Gastroenterologiczny",
issn="1895-5770",
volume="12",
number="2",
year="2017",
title="Transthoracic versus transhiatal esophagectomy – influence on patient survival",
abstract=" Aim:  To evaluate the survival of patients after surgery of the esophagus/cardia using the transthoracic and transhiatal methods.   Material and methods : In the years 2007–2011, 102 patients were radically treated for cancer of the esophagus/cardia: 24 women and 78 men at the average age of 59.5. There were 38 transthoracic procedures and 64 transhiatal procedures. All patients had a conduit made from the stomach, led through lodges in the esophagus and combined with the stump of the esophagus in the neck following the Collard method. Two-pole lymphadenectomies were performed in all patients.   Results:   Patients after transthoracic procedures had statistically more (p < 0.05) lymph nodes removed than patients after transhiatal procedures. The 5-year survival rates in transhiatal and transthoracic procedures did not statistically differ, being 8% and 0% respectively. The length of patient survival was influenced by metastases in the nearby lymph nodes (p < 0.0001) and the presence of adenocarcinoma.   Conclusions : Surgical access (transhiatal and transthoracic surgery) does not affect the 5-year survival rates. Transhiatal surgery allows a greater number of lymph nodes to be removed. The main factor influencing the 5-year survival rate is the presence of metastases in the nearby lymph nodes.",
author="Łochowski, Mariusz
and Łochowska, Barbara
and Kozak, Józef",
pages="118--121",
doi="10.5114/pg.2016.64609",
url="http://dx.doi.org/10.5114/pg.2016.64609"
}