{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T23:29:17Z","timestamp":1773012557262,"version":"3.50.1"},"reference-count":14,"publisher":"Wiley","issue":"1-2","license":[{"start":{"date-parts":[[2007,1,30]],"date-time":"2007-01-30T00:00:00Z","timestamp":1170115200000},"content-version":"vor","delay-in-days":29,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2007,1]]},"abstract":"<jats:p><jats:bold>Background:\u2003<\/jats:bold> Carcinoma of the oesophagus is a rare but a highly lethal malignancy. The incidence of adenocarcinoma in particular is increasing in the Western world. Despite improvements in staging, perioperative care and the use of adjuvant\/neoadjuvant regimen the prognosis remains poor.<\/jats:p><jats:p><jats:bold>Methods:\u2003<\/jats:bold> All patients who had biopsy\u2010proven oesophageal carcinoma between the years 1992 and 2004 in the Wellington region, New Zealand, were retrospectively reviewed. The personal and tumour characteristics, operation details, complications and the details of hospital stay of patients who had had a resection were recorded in a database . Survival data were recovered from the notes, hospital database or general practitioner records and were available for all patients who had surgery. Survival analyses were calculated using Kaplan\u2013Meier estimates.<\/jats:p><jats:p><jats:bold>Results:\u2003<\/jats:bold> One hundred and ninety\u2010one patients were diagnosed with oesophageal carcinoma during the study period (59% adenocarcinoma, 32% squamous cell carcinoma). Only 35% (<jats:italic>n<\/jats:italic>\u2003=\u200367) had a resection (81% adenocarcinoma, 13% squamous cell carcinoma). Fifty\u2010one (77%) had an Ivor Lewis procedure, 9 (14%) had only a laparotomy and 6 (9%) had a laparotomy, right thoracotomy and cervical incision. Forty\u2010six (70%) tumours were in the distal third of the oesophagus and 13 (20%) were at the oesophagogastric junction. Perioperative mortality was 10% (<jats:italic>n<\/jats:italic>\u2003=\u20037) and anastomotic leak rate 9% (<jats:italic>n<\/jats:italic>\u2003=\u20036). Five\u2010year survival was 23%.<\/jats:p><jats:p><jats:bold>Conclusion:\u2003<\/jats:bold> Results from our institution for the resection of oesophageal cancer compare favourably with those in the published work. Staging with computed tomography and laparoscopy has resulted in acceptable resection and survival rates. Survival for this disease is still largely stage dependent and earlier diagnosis probably holds the key to improved prognosis.<\/jats:p>","DOI":"10.1111\/j.1445-2197.2006.03973.x","type":"journal-article","created":{"date-parts":[[2007,2,2]],"date-time":"2007-02-02T18:26:36Z","timestamp":1170440796000},"page":"37-39","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["OUTCOMES AFTER OESOPHAGOGASTRECTOMY FOR CARCINOMA OF THE OESOPHAGUS"],"prefix":"10.1111","volume":"77","author":[{"given":"Mark","family":"Omundsen","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard","family":"Babor","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Johnston","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2007,1,30]]},"reference":[{"key":"e_1_2_7_2_2","volume-title":"Oxford Textbook of Surgery","author":"Morris P","year":"2000"},{"key":"e_1_2_7_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF00316815"},{"key":"e_1_2_7_4_2","doi-asserted-by":"crossref","first-page":"447","DOI":"10.1016\/S0022-5223(19)37954-1","article-title":"A twenty\u2010year experience with surgical management of carcinoma of the esophagus and gastric cardia","volume":"79","author":"Griffith J","year":"1980","journal-title":"J. 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