{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,9,29]],"date-time":"2024-09-29T04:06:21Z","timestamp":1727582781917},"reference-count":25,"publisher":"Oxford University Press (OUP)","issue":"11","license":[{"start":{"date-parts":[[1991,11,1]],"date-time":"1991-11-01T00:00:00Z","timestamp":688953600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1991,11,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Between 1979 and 1990 transhiatal oesophagectomy and reconstruction with stomach was performed in 148 patients with carcinoma of the oesophagus. Ninety-seven patients were men and 51 were women; ages ranged from 21 to 88 years with a mean of 57.4 years. Dysphagia and weight loss were the usual clinical symptoms. The mean duration of symptoms was 14 weeks. Squamous cell carcinoma was present in 129 patients (87.2 per cent), 18 patients (12.2 per cent) had adenocarcinoma, and one had lymphoma (0.7 per cent). In two-thirds of the patients tumours were located in the middle thoracic (50 of 148 patients) or distal thoracic oesophagus (59 of 148 patients). Three-quarters of the patients had tumours determined as stage III. The mean length of hospital stay after operation was 12.8 days. Anastomotic leakage occurred in 15 cases (10.1 per cent). Pulmonary complications other than pneumothorax were observed in 36 cases (24.3 per cent). The 30-day postoperative mortality rate was 8.1 per cent (12 of 148 patients). Respiratory insufficiency was observed as the major cause of death (six of 12 patients). Mediastinitis due to necrosis of the transposed stomach in the mediastinum was the cause of death in three cases. Two-year actuarial survival rates in patients with cervical, upper, middle and lower thoracic tumours were 20, 22, 26 and 30 per cent respectively. Transhiatal oesophagectomy is safe and offers limited morbidity and mortality, although pulmonary complications and anastomotic leakage in the early postoperative period still pose a significant risk, especially for elderly patients in poor condition.<\/jats:p>","DOI":"10.1002\/bjs.1800781126","type":"journal-article","created":{"date-parts":[[2007,3,3]],"date-time":"2007-03-03T15:21:36Z","timestamp":1172935296000},"page":"1348-1351","source":"Crossref","is-referenced-by-count":22,"title":["Transhiatal oesophagectomy for oesophageal carcinoma"],"prefix":"10.1093","volume":"78","author":[{"given":"N","family":"G\u00fcrkan","sequence":"first","affiliation":[{"name":"Department of General Surgery, Istanbul Medical Faculty, Istanbul University ,","place":["Turkey"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T","family":"Terzioglu","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Istanbul Medical Faculty, Istanbul University ,","place":["Turkey"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S","family":"Tezelman","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Istanbul Medical Faculty, Istanbul University ,","place":["Turkey"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"O","family":"Sasmaz","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Istanbul Medical Faculty, Istanbul University ,","place":["Turkey"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1991,11,1]]},"reference":[{"key":"2024092809114432700_bib1","doi-asserted-by":"crossref","first-page":"643","DOI":"10.1016\/S0022-5223(19)41012-X","article-title":"Esophagectomy without thoracotomy","volume":"76","author":"Orringer","year":"1978","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2024092809114432700_bib2","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1016\/S0022-5223(19)38901-9","article-title":"Esophagectomy without thoracotomy: a dangerous operation?","volume":"85","author":"Orringer","year":"1983","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2024092809114432700_bib3","doi-asserted-by":"crossref","first-page":"282","DOI":"10.1097\/00000658-198409000-00005","article-title":"Transhiatal esophagectomy without thoracotomy for carcinoma of the thoracic esophagus","volume":"200","author":"Orringer","year":"1984","journal-title":"Ann Surg"},{"key":"2024092809114432700_bib4","doi-asserted-by":"crossref","first-page":"486","DOI":"10.1016\/0002-9610(82)90200-8","article-title":"Esophagectomy without thoracotomy for carcinoma of the esophagus","volume":"143","author":"Tryzelaar","year":"1982","journal-title":"Am J Surg"},{"key":"2024092809114432700_bib5","doi-asserted-by":"crossref","first-page":"491","DOI":"10.1097\/00000658-198605000-00007","article-title":"Management of panesophageal cancer by blunt resection without thoracotomy and reconstruction with stomach","volume":"203","author":"Baker","year":"1986","journal-title":"Ann Surg"},{"key":"2024092809114432700_bib6","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1002\/bjs.1800730202","article-title":"Transhiatal oesophagectomy for carcinoma of the thoracic oesophagus","volume":"73","author":"Wong","year":"1986","journal-title":"Br J Surg"},{"key":"2024092809114432700_bib7","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1007\/BF01658071","article-title":"Esophageal carcinoma: patient selection for transhiatal esophagectomy. A prospective analysis of 50 consecutive cases","volume":"12","author":"Barbier","year":"1988","journal-title":"World J Surg"},{"key":"2024092809114432700_bib8","doi-asserted-by":"crossref","first-page":"270","DOI":"10.1007\/BF01658073","article-title":"Quality of life and patterns of recurrence following transhiatal esophagectomy for cancer: results of a prospective follow-up in 50 patients","volume":"12","author":"Barbier","year":"1988","journal-title":"World J Surg"},{"key":"2024092809114432700_bib9","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1016\/S0022-5223(19)38900-7","article-title":"En-bloc resection for neoplasms of the esophagus and cardia","volume":"85","author":"Skinner","year":"1983","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2024092809114432700_bib10","doi-asserted-by":"crossref","first-page":"275","DOI":"10.1002\/bjs.1800750329","article-title":"Treatment policy for the management of carcinoma of the oesophagus","volume":"75","author":"Desa","year":"1988","journal-title":"Br J Surg"},{"key":"2024092809114432700_bib11","first-page":"49","article-title":"Esophagectomy without thoracotomy for carcinoma of the cardia and lower part of the esophagus","volume":"160","author":"Finley","year":"1985","journal-title":"Surg Gynecol Obstet"},{"key":"2024092809114432700_bib12","first-page":"653","article-title":"Comparison of the results of esophagectomy with and without thoracotomy","volume":"153","author":"Steiger","year":"1981","journal-title":"Surg Gynecol Obstet"},{"key":"2024092809114432700_bib13","doi-asserted-by":"crossref","first-page":"414","DOI":"10.1016\/0002-9610(89)90275-4","article-title":"A comparison of transhiatal and transthoracic resection for carcinoma of the thoracic esophagus","volume":"158","author":"Fok","year":"1989","journal-title":"Am J Surg"},{"key":"2024092809114432700_bib14","first-page":"608","article-title":"L'oesophagectomie sans thoracotomie dans le traitement du cancer de l'oesophage. Analyses de 47 cas","volume":"110","author":"G\u00fcrkan","year":"1984","journal-title":"Chirurgie"},{"key":"2024092809114432700_bib15","first-page":"403","volume-title":"Diseases of the Esophagus","author":"G\u00fcrkan","year":"1987"},{"key":"2024092809114432700_bib16","first-page":"625","article-title":"A proposal for new TNM classification of esophageal carcinoma","volume":"14","author":"Japanese Committee for Registration of Esophageal Carcinoma","year":"1985","journal-title":"Jpn J Clin Oncol"},{"key":"2024092809114432700_bib17","doi-asserted-by":"crossref","first-page":"457","DOI":"10.1080\/01621459.1958.10501452","article-title":"Nonparametric estimation from incomplete observations","volume":"53","author":"Kaplan","year":"1958","journal-title":"J Am Statist Assoc"},{"key":"2024092809114432700_bib18","doi-asserted-by":"crossref","first-page":"438","DOI":"10.1097\/00000658-198110000-00007","article-title":"Principles of surgical treatment for carcinoma of the esophagus: analysis of lymph node involvement","volume":"194","author":"Akiyama","year":"1981","journal-title":"Ann Surg"},{"key":"2024092809114432700_bib19","doi-asserted-by":"crossref","first-page":"827","DOI":"10.1016\/S0022-5223(19)37470-7","article-title":"Complications and deaths after operations for esophageal carcinoma","volume":"85","author":"Postlethwait","year":"1983","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2024092809114432700_bib20","doi-asserted-by":"crossref","first-page":"242","DOI":"10.1016\/S0022-5223(19)36087-8","article-title":"Adenocarcinoma of the distal esophagus and gastric cardia","volume":"91","author":"Goldfaden","year":"1986","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2024092809114432700_bib21","doi-asserted-by":"crossref","first-page":"1287","DOI":"10.1002\/1097-0142(19881001)62:7<1287::AID-CNCR2820620707>3.0.CO;2-5","article-title":"Computerized tomographic prediction of extraluminal spread and prognostic implications of lesion width in esophageal carcinoma","volume":"62","author":"Lefor","year":"1988","journal-title":"Cancer"},{"key":"2024092809114432700_bib22","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1002\/bjs.1800750302","article-title":"Choice of treatment in carcinoma of the oesophagus","volume":"75","author":"Hennessy","year":"1988","journal-title":"Br J Surg"},{"key":"2024092809114432700_bib23","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1097\/00000658-198208000-00014","article-title":"Parenteral nutrition in esophageal cancer patients","volume":"196","author":"Daly","year":"1982","journal-title":"Ann Surg"},{"key":"2024092809114432700_bib24","doi-asserted-by":"crossref","first-page":"810","DOI":"10.1002\/bjs.1800661119","article-title":"Postoperative hypoxaemia: oesophagectomy with gastric replacement","volume":"66","author":"Bishop","year":"1979","journal-title":"Br J Surg"},{"key":"2024092809114432700_bib25","doi-asserted-by":"crossref","first-page":"734","DOI":"10.1002\/bjs.1800691217","article-title":"Cough dynamics in oesophageal carcinoma: prevention of postoperative complications","volume":"69","author":"Sugimaci","year":"1982","journal-title":"Br J Surg"}],"container-title":["Journal of British Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fbjs.1800781126","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/78\/11\/1348\/59393513\/bjs1800781126.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/78\/11\/1348\/59393513\/bjs1800781126.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,28]],"date-time":"2024-09-28T09:11:49Z","timestamp":1727514709000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/bjs\/article\/78\/11\/1348\/6175429"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1991,11,1]]},"references-count":25,"journal-issue":{"issue":"11","published-online":{"date-parts":[[1991,11,1]]},"published-print":{"date-parts":[[1991,11,1]]}},"URL":"https:\/\/doi.org\/10.1002\/bjs.1800781126","relation":{},"ISSN":["0007-1323","1365-2168"],"issn-type":[{"type":"print","value":"0007-1323"},{"type":"electronic","value":"1365-2168"}],"subject":[],"published-other":{"date-parts":[[1991,11]]},"published":{"date-parts":[[1991,11,1]]}}}