Abstract
This report is based on 432 cases of cancer of the oesophagus, 154 of which involved the middle third. There were 82 men and 72 women, ranging in age from 42 to 81, average 62. Operative mortality was 15.7%. The philosophic objectives were to restore promptly the ability to swallow, to obtain a worthwhile survival period, and to avoid the miseries associated with oesophageal carcinoma.
Preoperative preparation, operative techniques including errors and safeguards, postoperative management, and overall results are specified. The stomach is preferred to jejunum or colon as a means of restoring continuity of the alimentary tract following resection of oesophageal carcinoma.
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References
Ohsawa, T.: Surgery of the oesophagus. Arch. Jpn. Chir.10:605, 1933
Adams, W.F., Phemister, O.B.: Carcinoma of the lower thoracic esophagus. (Report of a successful resection and esophago-gastrostomy). J. Thorac. Cardiovasc. Surg.7:621, 1938
Raven, R.W., O'Shaughnessy, L.: Surgical exposure of the oesophagus. An experimental study. Br. J. Surg.22:365, 1934
Lewis, I.: The surgical treatment of carcinoma of the oesophagus with special reference to a new operation for growths of the middle third. Br. J. Surg.34:18, 1946
Lewis, I.: Carcinoma of the oesophagus. In Modern Trends in Gastroenterology, Jones, F.R., editor. New York, Paul B. Hoeber Inc., 1952; p. 199
Tanner, N.C.: The present position of carcinoma of the esophagus. Postgrad. Med. J.23:109, 1949
Ong, G.B., Kwong, K.H.: The Lewis/Tanner operation for cancer of the oesophagus. J.R. Coll. Surg. Edin.14:3, 1969
McKeown, K.C.: Total oesophagectomy. British Medical Association Film 439, 1969, “By kind permission of Editor Surgery Annual”
McKeown, K.C.: Trends in oesophageal resection. Hunterian Lecture. Br. J. Surg.51:213, 1972
McKeown, K.C.: Total three stage oesophagectomy for cancer of the oesophagus. Br. J. Surg.63:259, 1976
McKeown, K.C.: Carcinoma of the oesophagus. J.R. Coll. Surg. Edin.24:253, 1979
Ong, G.B.: Resection and reconstruction of the esophagus. Curr. Prob. Surg. September, 1971
Ong, G.B.: Surgical treatment of oesophageal carcinoma—Personal experience of 112 cases. Br. J. Surg.51:53, 1964
McKeown, K.C.: The surgical treatment of carcinoma of the oesophagus. Proc. R. Soc. Med. (Sect of Laryngology)67:389, 1974
Franklin, R.H.: Grey Turner and the evaluation of oesophageal surgery. Ann. R. Coll. Surg. Engl.49:165, 1971
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McKeown, K.C. Resection of midesophageal carcinoma with esophagogastric anastomosis. World J. Surg. 5, 517–525 (1981). https://doi.org/10.1007/BF01655004
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DOI: https://doi.org/10.1007/BF01655004