A Study on Outcome of Various Surgical Modalities for Lower Third Esophageal Cancer a Single Center Experience

The objective behind the correct study was to determine the outcome of various surgical modalities in patients with lower third esophageal cancer in terms of: Operative time. Intra -operative complications. Conversion rates, post operative morbidity, Mortality. Our study included 35 Patients, endoscopy and biopsy proven cases of lower third oesophageal carcinoma. On admission a detailed history and examination was done. Appropriate laboratory and radiological work up was done. Patients were subjected different approachs: Transabdominal approach (TA). Ivor-Lewis (IL) technique, transhiatal (TH) approach. There were no significant differences noted among the various surgical modalities employed, in terms of morbidity and mortality. Although Ivor Lewis technique is associated with significantly increased operative time, operative blood loss and hospital stay, this does not however translate into increased mortality. Because of a small sample size and limited follow up, our data does not permit us to make a clear recommendation of one surgical modality over the other.