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  • Title: Transhiatal versus transthoracic esophagectomy for clinical stage I esophageal carcinoma.
    Author: Berdejo L.
    Journal: Hepatogastroenterology; 1995; 42(6):789-91. PubMed ID: 8847024.
    Abstract:
    BACKGROUND/AIMS: A study was carried out to compare the actuarial survival and postoperative mortality in two groups of the patients with Clinical Stage I esophageal carcinoma resected with or without intercostal thoracotomy. MATERIAL AND METHODS: Group 1 included twenty-one patients resected with a transhiatal approach and Group 2 had twenty patients resected with other transthoracic methods. RESULTS: Neither the Kaplan-Meier nor the comparative Mantel-Haeszel test demonstrated a significant difference. Nevertheless the early postoperative deaths are higher in Group 2 than Group 1. CONCLUSION: In spite of the incoherent relation between clinical and post-resection staging, we believe the transhiatal approach for clinical Stage I Esophageal carcinoma is a good decision, especially in patients with liver or bronchopulmonary associated damage. At present, we perform a laparoscopy in theater to check the liver and avoid "surprise cirrhosis".
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