Assessment of intra-operative haemodynamic changes associated with transhiatal and transthoracic oesophagectomy

Transhiatal oesophagectomy for carcinoma oesophagus. Early experience.

Over a period of eighteen months, (June, 89 to Dec, 90) 19 patients underwent Transhiatal Oesophagectomy for carcinoma. Thirteen were males and 6 females, age varying from 32 to 80 years with an average of 48.6 years. Dysphagia was present in all patients, the duration varied from 1.5 to 6 months, average 3.5 months. Pre-operative endoscopy and biopsy was done in all cases. Lesion was located i...

Early extubation after transthoracic oesophagectomy.

OBJECTIVES To assess patient outcome following transthoracic (Ivor-Lewis) oesophagectomy and the effects of epidural analgesia and early extubation compared with overnight sedation and ventilation. DESIGN Retrospective study. SETTING University teaching hospital, Hong Kong. SUBJECTS AND METHODS A retrospective review of patients undergoing oesophagectomy during two periods, 1990 to 1994 (...

Transhiatal oesophagectomy: treatment of choice for high-grade dysplasia.

OBJECTIVE To demonstrate that transhiatal oesophagectomy should remain the gold standard treatment for patients with high-grade dysplasia. BACKGROUND The conventional management of high-grade dysplasia of the oesophagus is surgery. Perceived high incidence of operative morbidity and mortality associated with oesophagectomy has led some to advocate alternative less invasive treatments such as ...

An unusual case of oesophageal rupture treated by transhiatal oesophagectomy.

Spontaneous rupture of the oesophagus is an uncommon surgical emergency. A case is presented in which the extensive nature of the rupture precluded standard methods of treatment and was treated by transhiatal oesophagectomy.

Haemodynamic changes associated with PEEP ventilation