ESOPHAGECTOMY IN REGIONAL CANCER CENTRE OF EASTERN INDIA: OUR EXPERIENCE.

Abstract

Introduction Radical surgery is the chief component of treatment in resectable esophageal cancers with ample controversies regarding type, extent and nature of radical surgeries to be performed. Materials And Methods We share our experience with esophagectomies for cancer involving lower two-thirds of esophagus between February 2017 to February 2018 with 20 patients at Chittaranjan National Cancer Institute, Kolkata. The pre, intra and post-operative factors, morbidity and mortalities were studied. Transhiatal esophagectomy was Results performed in 5 patients and transthoracic esophagectomy was performed in 15 patients. The most common location was in lower third of esophagus and squamous cell carcinoma was most common histopathology. The common complications encountered were respiratory (25%), anastomotic leak (5%) and anastomotic stricture (20%). Complication was higher in transthoracic group. R0 resection rate was 90%. Esophagect Conclusion omy can be performed with acceptable morbidity in patients with esophageal cancer. Higher volume, surgical expertise , good patient selection and meticulous anastomotic technique enhances the outcome of surgery.