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Eur J Cardiothorac Surg 1999;15:626-630
© 1999 Elsevier Science NL

Oesophagectomy for carcinoma of the oesophagus and oesophagogastric junction

Department of Cardiothoracic Surgery Southampton General Hospital, Tremona Road, Southampton, SO16 6YD, UK

Received 12 October 1998; received in revised form 18 January 1999; accepted 16 February 1999.

Corresponding author. Tel.: +44-1703-796238; fax: +44-1703-796614

Objective: Oesophageal carcinoma has a poor prognosis; surgical resection remains the only chance of cure but is still associated with a significant morbidity and mortality. The aim of this study was to review the results of one surgeon for oesophageal resection for carcinoma of the oesophagus and oesophagogastric junction over a 23 year period. Methods: Between January 1974 and December 1996, 591 patients (408 males; 183 females; mean age 66 years) underwent an oesophageal resection for carcinoma of the oesophagus or oesophagogastric junction. Results: In hospital mortality was 8.8% (52/591). This has decreased to less than 5% for resections between 1985 and 1996. Non-fatal complications occurred in 21% of patients (123/591). Survival, including in hospital mortality (±SEM), was 53.98% (±2), 31.77% (±2) and 15.3% (±2) at 1, 2 and 5 years respectively. Conclusion: Early mortality following oesophageal resection has fallen in recent years. Despite considerable experience, long term survival remains disappointingly low.

Key Words: Carcinoma • Oesophagus • Surgery • Resection • Survival

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