Original articleGeneral thoracicAnterior Versus Posterior Routes of Reconstruction After Esophagectomy: A Comparative Anatomic Study
Section snippets
Patients and Methods
Between December 2005 and October 2007, a total of 60 consecutive and nonselected patients who were diagnosed with thoracic squamous cell carcinoma of the esophagus and planned to receive esophagectomy were accrued into this institutional review board–approved prospective study. Written consents were obtained from all participating patients before their surgery. Pretreatment evaluation included a complete history and physical examination, chest roentgenogram, computed tomography of the chest
Results
The median age of all patients was 59.9 years (range, 43 to 79 years). Fifty patients were Chinese men and 10 were women.
All patients were diagnosed with esophageal squamous cell carcinoma in the thoracic esophagus. The number of lesions located in the upper, mid, and lower thoracic esophagus were 15, 33, and 12, respectively. All patients received esophagectomy as well as reconstruction using the gastric conduit through AR as planned.
The mean distances of AR and PR were 32.7 ± 2.7 cm and 35.5
Comment
Esophagectomy followed by reconstruction of the alimentary tract is the mainstay treatment for early stage resectable esophageal cancers. Alimentary tract reconstruction is commonly achieved using a gastric conduit, and can be positioned either through AR or PR [2]. Although various reasons have been cited for selection of the routes, it seems that the choices are influenced more by the preferences and experience of surgeons than by best evidence, as the data available are scarce and
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