The influence of preoperative radiation therapy on morbidity and mortality for transhiatal esophagectomy

C. G. Tribble, T. L. Flanagan, C. P. Christensen, T. M. Daniel, I. L. Kron

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

To assess the morbidity and mortality of preoperative radiation therapy (RT), the authors reviewed 37 consecutive patients who underwent transhiatal esophagectomy for carcinoma of the esophagus. Twelve patients received no RT, 13 patients received RT only to the neck, and 12 received RT to the chest (three of these received radiation therapy to the chest and neck). Preoperative chest RT did not significantly increase postoperative fistula formation but was associated with significantly higher operative mortality, overall complication rate, and time on ventilators than either the patients receiving neck RT alone or no RT (P < 0.05). Postoperative hospital stay was longer and intraoperative blood loss greater for the chest RT group compared to those with no RT (P < 0.05). Neck RT did not result in these complications (P = NS). The authors conclude that preoperative chest RT is associated with significant postoperative morbidity and mortality.

Original languageEnglish (US)
Pages (from-to)716-719
Number of pages4
JournalAmerican Surgeon
Volume57
Issue number11
StatePublished - Dec 1 1991
Externally publishedYes

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Esophagectomy
Radiotherapy
Morbidity
Mortality
Thorax
Neck
Mechanical Ventilators
Esophagus
Fistula
Length of Stay

ASJC Scopus subject areas

  • Surgery

Cite this

Tribble, C. G., Flanagan, T. L., Christensen, C. P., Daniel, T. M., & Kron, I. L. (1991). The influence of preoperative radiation therapy on morbidity and mortality for transhiatal esophagectomy. American Surgeon, 57(11), 716-719.

The influence of preoperative radiation therapy on morbidity and mortality for transhiatal esophagectomy. / Tribble, C. G.; Flanagan, T. L.; Christensen, C. P.; Daniel, T. M.; Kron, I. L.

In: American Surgeon, Vol. 57, No. 11, 01.12.1991, p. 716-719.

Research output: Contribution to journalArticle

Tribble, CG, Flanagan, TL, Christensen, CP, Daniel, TM & Kron, IL 1991, 'The influence of preoperative radiation therapy on morbidity and mortality for transhiatal esophagectomy', American Surgeon, vol. 57, no. 11, pp. 716-719.
Tribble, C. G. ; Flanagan, T. L. ; Christensen, C. P. ; Daniel, T. M. ; Kron, I. L. / The influence of preoperative radiation therapy on morbidity and mortality for transhiatal esophagectomy. In: American Surgeon. 1991 ; Vol. 57, No. 11. pp. 716-719.
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