INTRODUCTION: @entity418 is a public health problem,with increasing incidence and postoperative morbidity over the past recent years. Although a number of new surgical techniques, including minimally invasive surgery, have been developed, mortality and morbidity have remained elevated.The element that seems to influence the early postoperative morbidity and mortality is the method of approach. MATERIAL AND METHODS: retrospective observational study which is carried out in the period 2003-2012 including esophageal @entity5 @entity1 operated in the First Surgical Clinic -Hospital "Sf. Spiridon", Iasi. 140 @entity1 were included, of which only 33 have received surgery with curative aim. SURGICAL TECHNIQUE: we consider 2 techniques in our study:transhiatal (TH) technique (without opening the chest)followed by esophagoplasty with cervical @entity254 and transthoracic esophagectomy (TT) with intrathoracic or cervical @entity254 . RESULTS: We performed 57.58 % (n = 19) of interventions by TT versus 42.42% (n = 14) by TH. The overall rate of postoperative morbidity rate was 78.8% (n = 26). Overall early postoperative mortality rate was 15.5% (n = 5) caused by @entity295 (2 cases), lung emboli (1 case) and @entity295 caused by @entity834 (2 cases). CONCLUSION: TT and TH esophagectomy have precise indications in esophageal surgery for @entity5 , the mortality and morbidity rate being strongly influenced by the surgical approach.

Esophagectomy in XXXX - is there an optimal approach?

@entity1 :: ('9606', 'Species') :: ['patients'] @entity295 :: ('MESH:D018805', 'Disease') :: ['sepsis', 'pleuropulmonary sepsis'] @entity834 :: ('MESH:D057868', 'Disease') :: ['anastomotic leak'] @entity5 :: ('MESH:D009369', 'Disease') :: ['malignancies', 'neoplasm'] @entity254 :: ('MESH:C563598', 'Disease') :: ['anastomosis'] @entity418 :: ('MESH:D004938', 'Disease') :: ['Esophageal cancer']
@entity418 :: (MESH:D004938,Disease) :: ['esophageal cancer']
