Study Of The Clinical Properties For Esophageal Cancer And Complications Of Surgical Treatment

Abstract

Background and objective: Esophageal cancer is considered one of the worst types of cancers as a warning, and esophageal cancer ranks eighth in the world in terms of frequency and sixth in the world in terms of deaths related to cancer. This Study includes a study of characters of the esophageal cancer in our patients, included: age, gender, housing, smoking and alcoholism, clinical presentations, pathology and localization of the cancer,  surgical complications and mortality rates.

Materials and Methods: Between Jan 2000 and Dec 2019, we treated 210 patients with esophageal cancer in the Thoracic Surgery department at Al-Mouwasat University Hospital. The esophagus was resected and reconstructed in 150 patients , and Minimally Invasive Esophagectomy  were used  in 14 patients.

Results: Males was 141 (67.1%) and Females was 69 (32.9%). Their ages ranged between 19 and 95 years, The median  age was 58 years. 54.8% of them were smokers and 10% alcoholic. The most clinical presentations were: Dysphagia (97%). Adenocarcinoma formed 53% and Squamous cell Carcinoma 46%. The cancer was located in lower thoracic esophagus at 39% of patients. The percentage of surgical complications was 24.7% and the mortality rate was 5.3%.

Conclusion: The incidence of esophageal cancer in females has increased compared to males in our country, Dysphagia is the most common symptom, and the use of Minimally Invasive techniques in esophageal surgery has increased, and the percentage of surgical complications is lower than the mentioned global ratios.