Complications of Esophageal Cancer Surgery in Yazd, Iran

Issue: Vol.7, No.4 - October 2008

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Article Type: Manuscript

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  1. Dr Ali Akbar Salari
    Associate Professor of Surgery, Department of Surgery, Shahid Sadoughi Hospital
  2. Mohamed Zare
  3. Sayed Mostafa Shiryazdi
  4. Mansour Moghimi
  5. Hedayat Karimi

Background: Cancer is one of the most unknown diseases of human and there are many researches in this field. Gastrointestinal cancers especially esophageal cancer threats lives of many people in the world. This study determines the complications of esophageal operation performing for cancer of the esophagus.

Methods: This retrospective cross-sectional descriptive study was done on 94 patients with esophageal cancer was admitted in Shahid Rahnemoon and Afshar hospitals Yazd, Iran who had esophageal surgery from 1996 to 2001.

Results: From total of 94 patients with cancer of the esophagus, 40 patients were male and 54 were female .the age range of patients was 25-90 years old. The complications rate of cancer was age-dependent and increased in older patients. Also bleeding rate, infection, hemothorax and leakage of anastomosis were more in older ones.It was concluded that complications of the disease was increased in higher stages as stages III and IV have more complications. The most
complications were related to Ivor Lewis operation. Although mortality rate was higher in men, but there was no significant differences. Some complications such as bleeding, abscess, pain and leakage of anastomosis site were higher in male patients.

Conclusion: Some post surgical complications of esophageal cancer are bleeding, abscess and leakage of anastomosis. The rate of complications is higher in the lower third of the esophagus. Although the rate of bleeding and abscess are higher in the upper third, but others occurred more frequently in other parts of the esophagus.

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