Khalid Masood Gondal, Salman Akhtar, Murtaza Anwar Choudhary, Muhammad Junaid Ijaz, Tahir Shah.
Transhiatal Esophagectomy: A safe surgical option.
Ann King Edward Med Uni Jan ;9(2):141-4.

It is a prospective study of 66 consecutive cases of dysphagia admitted in West Surgical Ward, Mayo Hospital, Lahore spanning over 4 years from January 1999 to December 2002. These include patients of carcinoma and corrosive stricture of oesopahgus. Lower third oesophagus was commonest site of carcinoma. After thorough evaluation 59 patients underwent oesophagectomy, to relieve dysphagia in benign stricture and with a palliative intent in carcinoma. Transhiatal oesophagectomy with stomach pull up was our operation of choice. In 4 patients with post-cricoid carcinoma pharango-laryngo-oesophagectomy was done. Pulmonary complications (25.5%) were the most frequent followed by anastomotic leakage (10%). In one patient conversion to transthoracic approach was required due to tracheal injury. In hospital mortality was 3.5%. Seventy eight percent of malignant cases had adenocarcinoma. Our study proves Transhiatal oesophagectomy as a safe procedure for resectable carcinoma and tight benign strictures of oesophagus.

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