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The Journal of Thoracic and Cardiovascular Surgery, Vol 85, 827-831, Copyright © 1983 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
RW Postlethwait
In a series of 908 patients with squamous cell carcinoma of the esophagus,
512 operations were performed on 503 of the patients. Postoperative
mortality was the highest after bypass operations, being 41.5%. After
palliative resection, mortality was 22.7% and after curative resection,
12.8%. Overall resection in 283 patients resulted in a 17% mortality. The
postoperative mortality for all resections for carcinoma at the three
levels was as follows: cervical and thoracic inlet, 17.6%; upper thoracic,
16.9%; and lower thoracic, 16.9%. The most frequent causes of death were
anastomotic leak and pulmonary complications. Nonfatal complications
occurred in 13.3% of the 512 operations.
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