Esophagectomy for benign disease: Trends in surgical results and management

Elizabeth A. Davis, Richard F. Heitmiller

Research output: Contribution to journalArticle

Abstract

Background. Esophagectomy for benign disease is uncommon. Methods. From July 1987 to April 1995, 45 consecutive patients (30 men, 15 women; mean age, 50 years) were evaluated in whom the senior author (R.F.H.) performed an esophagectomy, esophageal reconstruction, or both. The study period was divided into two time intervals, July 1987 to January 1992 (time 1) and February 1992 to April 1995 (time 2). Results. Indications for operation included obstruction (23 patients, 51%), benign neoplasia (17,38%), and perforation (5 patients, 11%). A nonthoracotomy approach was used in 19 (42%) patients: 15 transhiatal and 4 substernal. Thoracotomies were performed in 26 (58%) patients through a left thoracoabdominal or multiincisional techniques. Morbidity occurred in 15 (33%) patients, and there was one operative death (2%). Conclusions. Despite an operative morbidity of 33%, esophagectomy for benign disease may be performed with acceptably low mortality. We observed the following trends: (1) an increase in patients with benign neoplasia and a decline in patients with obstruction, (2) an increased use of transhiatal esophagectomy, (3) a decreased use of colon, an increased use of stomach for esophageal replacement; and (4) a decreased length of hospital stay.

Original languageEnglish (US)
Pages (from-to)369-372
Number of pages4
JournalAnnals of Thoracic Surgery
Volume62
Issue number2
DOIs
StatePublished - Aug 1996

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Esophagectomy
Length of Stay
Morbidity
Thoracotomy
Neoplasms
Stomach
Colon
Mortality

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

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Esophagectomy for benign disease : Trends in surgical results and management. / Davis, Elizabeth A.; Heitmiller, Richard F.

In: Annals of Thoracic Surgery, Vol. 62, No. 2, 08.1996, p. 369-372.

Research output: Contribution to journalArticle

Davis, Elizabeth A. ; Heitmiller, Richard F. / Esophagectomy for benign disease : Trends in surgical results and management. In: Annals of Thoracic Surgery. 1996 ; Vol. 62, No. 2. pp. 369-372.
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