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East and Central African Journal of Surgery
Association of Surgeons of East Africa and College of Surgeons of East Central and Southern Africa
ISSN: 1024-297X EISSN: 1024-297X
Vol. 22, No. 1, 2017, pp. 3-11
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Bioline Code: js17001
Full paper language: English
Document type: Research Article
Document available free of charge
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East and Central African Journal of Surgery, Vol. 22, No. 1, 2017, pp. 3-11
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Left Sided Trans-thoracic Esophagectomy for Resectable Esophageal and Gastro-esophageal Junction Cancers: Experience from Addis Ababa, Ethiopia
Bekele, Abebe
Abstract
Background: Surgery is the main stay of treatment for Esophageal Cancer but there is no
standard Esophagectomy accepted by all authorities to be superior. The main objective of
this study is to present our experience with the left sided trans-thoracic approach in
patients with a lower third Esophageal and Gastro-Esophageal junction cancer.
Methods: We retrospectively reviewed 22 patients at the Tikur Anbessa Specialized
Hospital in Addis Ababa Ethiopia between January 2013 and 2015. Data collected included
the socio-demographic status, diagnostic modalities, the operative details, post operative
outcome and follow up.
Results: The majority of the patients were males aged between 35-45 years, and had a
clinical stage IIIa cancer. Average duration of surgery was 111 minutes (+ 17.4 minutes).
Resection without macroscopical residual was achieved in 18 of 22 patients (81.8%). A
total of 16 complications were recorded among 10 (45.4%) of the patients. One patient
died in hospital (Mortality of 4.5%). All the remaining 21 patients were seen at least three
times over the subsequent 6 months and were in good post operative condition.
Conclusion: Our finding is in agreement with the collected evidence the sweet’s procedure
offers several advantages for tumors in the lower third of the esophagus including the
gastro-esophageal junction. The short-term outcome of this procedure is also found
acceptable.
Keywords
Sweet’s procedure, left sided trans-thoracic esophagectomy, Esophageal and Gastro- esophageal cancer
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© Copyright 2017 - East and Central African Journal of Surgery
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