|LETTER TO THE EDITOR
|Year : 2014 | Volume
| Issue : 4 | Page : 458
Esophageal cancer surgery: Concerns
N Barbetakis, C Asteriou, A Kleontas
Thoracic Surgery Department, Theagenio Hospital, Thessaloniki, Greece
|Date of Web Publication||1-Feb-2016|
Dr. N Barbetakis
Thoracic Surgery Department, Theagenio Hospital, Thessaloniki
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Barbetakis N, Asteriou C, Kleontas A. Esophageal cancer surgery: Concerns. Indian J Cancer 2014;51:458
We have read with great interest the article by Thakur B et al., concerning their experience in esophageal cancer surgery and we would like to congratulate them for their results although there are a few points that have to be highlighted.
Intrathoracic anastomotic leakage rates are between 4 and 11% according to the international literature. The percentage reported here is zero despite the fact that many patients had undergone preoperative chemoradiation and we would like to know if the authors are using a kind of reinforcement of the anastomosis like pleural tenting or muscular flap. The second question refers to the role of pyloroplasty because it is not clarified if the authors use pyloroplasty as a routine procedure or not. Pyloroplasty seems to reduce the incidence of gastric outlet obstruction and speed up gastric emptying and this has to be stated clearly for our readers.
| » References|| |
Thakur B, Zhang CS, Mena XL, Bhaktaman S, Bhurtel S, Khakural P. Eight year experience in esophageal cancer surgery. Indian J Cancer 2011;48:34-9.
Holscher AH, Schroder W, Bollschweiler E, Beckurts KT, Scneider PM. Wie sicher ist die hoch intrathorakale osophagogastrostomie? Chirurg 2003;74:726-33.
Khan OA, Manners J, Rengarajan A, Dunning J. Does pyloroplasty following esophagectomy improve early clinical outcomes? Interact Cardiovasc Thorac Surg. 2007;6:247-50.