CANCER ESOPHAGUS: AN AUDIT OF CURRENT MANAGEMENT FOR YEMENI PATIENTS

Document Type : Original Article

Authors

Department of Surgery, Faculty of Medicine and Health Sciences, Sana'a University, Yemen

Abstract

Aim: Cancer oesophagus is one of the serious conditions which lead to death of many thousands each year worldwide. The aim of this study is to evaluate the current management of cancer oesophagus in the absence of non surgical modalities in Yemen. 
Methods: We retrospectively audited our records of 76 patients with histologically proved cancer oesophagus between June 2003 to July 2005 presented to Al-Thawrah Modern Teaching hospital in Sana'a- Yemen. and treated by surgical resection or intubations. 
Results: The study compared the different surgical approaches for resection of oesophageal carcinoma where there was non significant difference in the outcome, complications or the long term survival, but the transhiatal route proved more simple and effective than transthoracic approach. 
Conclusion: There was 40% reduction of operative time when the trans-hiatal approach selected instead of the classic 
transthoracic route without any improvement in the outcome and survival. Early detection of cancer oesophagus will be the only help to improve survival when applied to patients. 

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