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- Title
Comparison of conventional Lewis-Tanner two-stage oesophagectomy with the synchronous two-team approach.
- Authors
Hayes, N.; Shaw, I. H.; Raimes, S. A.; Griffin, S. M.
- Abstract
Twenty-seven patients with oesophageal carcinoma had subtotal oesophagectomy by the Lewis-Tanner operation (group 1, n=14) or a synchronous modification (group 2, n=13). Synchronous operations were completed more quickly (230 versus 305 min, P < 0·01), but with more time spent under single-lung anaesthesia (160 versus 120 min, P < 0·01) and a greater fall in systolic blood pressure during hiatal manipulation (60 versus 30mmHg, P < 0·01). Operative blood loss was not significantly greater in group 2, but the total volume of blood transfused in the perioperative period was greater in this group (5 versus 3 units, P < 0·01). Four patients in group 1 suffered significant postoperative complications, compared with seven in group 2; three postoperative deaths occurred in group 2. This study suggests that the synchronous two-team oesophagectomy produces a higher incidence of complications than the conventional operation. Continued use of the Lewis-Tanner two-stage oesophagectomy is recommended for patients with carcinoma of the oesophagus.
- Publication
British Journal of Surgery, 1995, Vol 82, Issue 3, pii
- ISSN
0007-1323
- Publication type
Article
- DOI
10.1002/bjs.1800820361