Abstract

TRANSHIATAL OESOPHAGECTOMY IN LOW AND MID OESOPHAGEAL CANCERS - A PROSPECTIVE STUDY

Author(s): Javid Ahmad Peer, Shaukat Jeelani, Ishfaq Ahmad Gilkar, Umer Mushtaq, Mohammad Lateef Wani, Varun Dogra

BACKGROUND Among the least studied cancers, oesophageal cancer is one. With the recent advances in technology, cancer oesophagus has diverted attention of many researchers as changes have occurred in the epidemiologic patterns associated with disease. MATERIALS AND METHODS Our study was performed as prospective study to look for the clinical and surgical profiles of patients undergoing surgery through transhiatal route. Patients initially were managed and monitored in post-operative high dependency ward for 48 hours and then shifted to general surgical ward and managed until their whole hospital stay. All patients were seen at the outpatient clinic at intervals of one week during first month and two weekly over the next two months and then monthly thereafter. RESULTS In our study, more than one symptom and more than one risk factors were encountered. Out of a total of 30 patients, most patients have fallen between 50 and 70 years with mean age of patient was 62.1±8.6 in years, showing the male female ratio in patients diagnosed with carcinoma oesophagus where more than 60% patients were males. Anastomotic leak was commonly encountered in those patients with serum albumin of less than 3 gm/dl. Duration of surgery with most falling in 201-250 minutes range with mean operating time of 213±53.8 mins. CONCLUSION From this study we found that carcinoma oesophagus is common in Kashmir with dysphagia was the most common symptom and regional dietary habit contributes a lot to the high prevalence of carcinoma oesophagus in Kashmir. Transhiatal oesophagectomy with intrathoracic gastric placement together with cervical anastomosis is a procedure with less surgical trauma and fewer respiratory complications.