Surgical Treatment for Esophageal Cancer
Autor(a) principal: | |
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Data de Publicação: | 2007 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Revista Brasileira de Cancerologia (Online) |
Texto Completo: | https://rbc.inca.gov.br/index.php/revista/article/view/1776 |
Resumo: | This study analyzes the results of surgical treatment for esophageal cancer at the Department of Abdominal and Pelvic Surgery, Brazilian National Cancer Institute (INCA). Medical files were analyzed retrospectively for a total of 93 patients with esophageal cancer who underwent esophagectomy from January 1997 to December 2005 (the period in which the Esophageal Study Group was formed). The main target parameters in the study were length of hospitalization and percentages of operative morbidity and mortality. Mean age was 57 years (25-85), with 71 males and 22 females. Mean hospitalization time was 20 days. The surgical complications rate was 61%, and surgical mortality was 7%. We conclude that esophagectomy for esophageal cancer presents high surgical morbidity, but remains the standard treatment for patients with resectable disease and without clinical contraindications. The currently observed reduction in surgical mortality related to esophagectomy has resulted from better patient selection, in addition to greater specialization by the surgical team and improved peri- and post-operative care. |
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Surgical Treatment for Esophageal CancerTratamento Cirúrgico do Câncer de EsôfagoCâncer de esôfagoEsofagectomiaMorbimortalidade operatóriaEsophageal cancerEsophagectomySurgical morbidity and mortalityThis study analyzes the results of surgical treatment for esophageal cancer at the Department of Abdominal and Pelvic Surgery, Brazilian National Cancer Institute (INCA). Medical files were analyzed retrospectively for a total of 93 patients with esophageal cancer who underwent esophagectomy from January 1997 to December 2005 (the period in which the Esophageal Study Group was formed). The main target parameters in the study were length of hospitalization and percentages of operative morbidity and mortality. Mean age was 57 years (25-85), with 71 males and 22 females. Mean hospitalization time was 20 days. The surgical complications rate was 61%, and surgical mortality was 7%. We conclude that esophagectomy for esophageal cancer presents high surgical morbidity, but remains the standard treatment for patients with resectable disease and without clinical contraindications. The currently observed reduction in surgical mortality related to esophagectomy has resulted from better patient selection, in addition to greater specialization by the surgical team and improved peri- and post-operative care.Este estudo tem como objetivo analisar os resultados do tratamento cirúrgico do câncer de esôfago na Seção de Cirurgia Abdominopélvica do Instituto Nacional de Câncer (INCA). Foram analisados, retrospectivamente, os prontuários de 93 pacientes portadores de câncer de esôfago, submetidos à esofagectomia no INCA entre janeiro de 1997 e dezembro de 2005 (período no qual organizou-se o Grupo de Esôfago). Os principais parâmetros avaliados no estudo foram: tempo de internação hospitalar, percentual de morbidade operatória e percentual de mortalidade operatória. Em relação aos resultados, a mediana de idade foi de 57 anos (25 anos - 85 anos), sendo 71 pacientes do sexo masculino e 22 pacientes do sexo feminino. A mediana do tempo de internação foi de 20 dias. O percentual de complicação operatória foi de 61% e a mortalidade operatória foi de 7%. Após a avaliação dos resultados e revisão da literatura, pode-se concluir que a esofagectomia por câncer de esôfago, apesar de apresentar elevada morbidade operatória, permanece como o tratamento-padrão para pacientes com doença ressecável e sem contra-indicação clínica; e que a redução da mortalidade operatória com a esofagectomia, atualmente observada, decorre de uma melhor seleção de pacientes para os quais é indicada a cirurgia, além de maior nível de especialização da equipe cirúrgica e atenção voltada para os cuidados per e pós-operatórios.INCA2007-12-31info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtigos, Avaliado pelos paresapplication/pdfhttps://rbc.inca.gov.br/index.php/revista/article/view/177610.32635/2176-9745.RBC.2007v53n4.1776Revista Brasileira de Cancerologia; Vol. 53 No. 4 (2007): Oct./Nov./Dec.; 425-430Revista Brasileira de Cancerologia; Vol. 53 Núm. 4 (2007): oct./nov./dic.; 425-430Revista Brasileira de Cancerologia; v. 53 n. 4 (2007): out./nov./dez.; 425-4302176-9745reponame:Revista Brasileira de Cancerologia (Online)instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)instacron:INCAporhttps://rbc.inca.gov.br/index.php/revista/article/view/1776/1066Pinto, Carlos Eduardo Dias, Jurandir Almeida Sá, Eduardo Amaral Moura Tsunoda, Audrey Tieko Pinheiro, Rodrigo Nascimento info:eu-repo/semantics/openAccess2021-11-29T20:24:52Zoai:rbc.inca.gov.br:article/1776Revistahttps://rbc.inca.gov.br/index.php/revistaPUBhttps://rbc.inca.gov.br/index.php/revista/oairbc@inca.gov.br0034-71162176-9745opendoar:2021-11-29T20:24:52Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)false |
dc.title.none.fl_str_mv |
Surgical Treatment for Esophageal Cancer Tratamento Cirúrgico do Câncer de Esôfago |
title |
Surgical Treatment for Esophageal Cancer |
spellingShingle |
Surgical Treatment for Esophageal Cancer Pinto, Carlos Eduardo Câncer de esôfago Esofagectomia Morbimortalidade operatória Esophageal cancer Esophagectomy Surgical morbidity and mortality |
title_short |
Surgical Treatment for Esophageal Cancer |
title_full |
Surgical Treatment for Esophageal Cancer |
title_fullStr |
Surgical Treatment for Esophageal Cancer |
title_full_unstemmed |
Surgical Treatment for Esophageal Cancer |
title_sort |
Surgical Treatment for Esophageal Cancer |
author |
Pinto, Carlos Eduardo |
author_facet |
Pinto, Carlos Eduardo Dias, Jurandir Almeida Sá, Eduardo Amaral Moura Tsunoda, Audrey Tieko Pinheiro, Rodrigo Nascimento |
author_role |
author |
author2 |
Dias, Jurandir Almeida Sá, Eduardo Amaral Moura Tsunoda, Audrey Tieko Pinheiro, Rodrigo Nascimento |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Pinto, Carlos Eduardo Dias, Jurandir Almeida Sá, Eduardo Amaral Moura Tsunoda, Audrey Tieko Pinheiro, Rodrigo Nascimento |
dc.subject.por.fl_str_mv |
Câncer de esôfago Esofagectomia Morbimortalidade operatória Esophageal cancer Esophagectomy Surgical morbidity and mortality |
topic |
Câncer de esôfago Esofagectomia Morbimortalidade operatória Esophageal cancer Esophagectomy Surgical morbidity and mortality |
description |
This study analyzes the results of surgical treatment for esophageal cancer at the Department of Abdominal and Pelvic Surgery, Brazilian National Cancer Institute (INCA). Medical files were analyzed retrospectively for a total of 93 patients with esophageal cancer who underwent esophagectomy from January 1997 to December 2005 (the period in which the Esophageal Study Group was formed). The main target parameters in the study were length of hospitalization and percentages of operative morbidity and mortality. Mean age was 57 years (25-85), with 71 males and 22 females. Mean hospitalization time was 20 days. The surgical complications rate was 61%, and surgical mortality was 7%. We conclude that esophagectomy for esophageal cancer presents high surgical morbidity, but remains the standard treatment for patients with resectable disease and without clinical contraindications. The currently observed reduction in surgical mortality related to esophagectomy has resulted from better patient selection, in addition to greater specialization by the surgical team and improved peri- and post-operative care. |
publishDate |
2007 |
dc.date.none.fl_str_mv |
2007-12-31 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Artigos, Avaliado pelos pares |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rbc.inca.gov.br/index.php/revista/article/view/1776 10.32635/2176-9745.RBC.2007v53n4.1776 |
url |
https://rbc.inca.gov.br/index.php/revista/article/view/1776 |
identifier_str_mv |
10.32635/2176-9745.RBC.2007v53n4.1776 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://rbc.inca.gov.br/index.php/revista/article/view/1776/1066 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
INCA |
publisher.none.fl_str_mv |
INCA |
dc.source.none.fl_str_mv |
Revista Brasileira de Cancerologia; Vol. 53 No. 4 (2007): Oct./Nov./Dec.; 425-430 Revista Brasileira de Cancerologia; Vol. 53 Núm. 4 (2007): oct./nov./dic.; 425-430 Revista Brasileira de Cancerologia; v. 53 n. 4 (2007): out./nov./dez.; 425-430 2176-9745 reponame:Revista Brasileira de Cancerologia (Online) instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA) instacron:INCA |
instname_str |
Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA) |
instacron_str |
INCA |
institution |
INCA |
reponame_str |
Revista Brasileira de Cancerologia (Online) |
collection |
Revista Brasileira de Cancerologia (Online) |
repository.name.fl_str_mv |
Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA) |
repository.mail.fl_str_mv |
rbc@inca.gov.br |
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1797042248085405696 |