Anterior versus posterior reconstruction after transhiatal oesophagectomy: A randomized controlled trial
Version of Record online: 6 DEC 2005
Copyright © 1993 British Journal of Surgery Society Ltd.
British Journal of Surgery
Volume 80, Issue 9, pages 1141–1144, September 1993
How to Cite
Bartels, H., Thorban, S. and Siewert, J. R. (1993), Anterior versus posterior reconstruction after transhiatal oesophagectomy: A randomized controlled trial. Br J Surg, 80: 1141–1144. doi: 10.1002/bjs.1800800924
- Issue online: 6 DEC 2005
- Version of Record online: 6 DEC 2005
- Manuscript Accepted: 15 DEC 1992
In a prospective randomized trial the clinical results after transhiatal oesophagectomy with reconstruction in the anterior mediastinum (51 patients) or posterior mediastinum (45 patients) were compared. There were no differences in age, preoperative risk factors, tumour stage and local (surgical) complications between the two groups. However, reconstruction in the posterior mediastinum was associated with significantly fewer days spent in the intensive therapy unit (9 versus 14), fewer cardiopulmonary complications (13 versus 25 per cent) and lower mortality (30-day mortality rate 2 versus 6 per cent; hospital mortality rate 4 versus 10 per cent). These data show superiority of reconstruction in the posterior mediastinum after transhiatal oesophagectomy. This route is strongly recommended, particularly for patients with cardiopulmonary risk factors.