Chinese Journal of Cancer Research

, Volume 9, Issue 1, pp 45–48 | Cite as

Results on Ivor-Lewis esophagogastrectomy for 338 cases of carcinoma of esophagus

  • Wu Changrong 
  • Zhang Zhenbin 
  • Xue Hengchuan 
  • Zhu Zonghai 
Clinical Observations


Three hundred thirty-eight patients with carcinoma in the middle and lower thirds of the esophagus received Ivor-Lewis esophagogastrectomy (separate laparotomy and right thoracotomy incisions) from February 1986 to June 1992. The total resectability was 95.2%. Lymph node metastases were found in 136 cases (40.2%). Postoperative complications developed in 103% of the patients. No anastomotic leakage, nor postoperative (within 30 days) death and hospital death occurred. Major pulmonary complications occurred in 28.6% of the patients. The overall 1-, 3- and 5-year survival rate was 88.5% (231/261), 63.1% (125/198) and 48.4% (60/124), respectively. The 5-year survival rate was 64.1% (41/64) in patients with negative lymph nodes as compared to 31.7% (19/60) with positive nodes. The superiority of this technique was a significant improvement of the 5-year survival rate. This was due to better exposure of the operation field which made thorough dissection of lymph nodes possible, especially those along the right recurrent laryngeal nerve. Better operative exposure also provided chances for radical resection with less interference from the aortic arch. It made anastomosis easier to perform so that stenosis and leakage were less likely to occur. Ivor-Lewis esophagogastrectomy was a superior surgical procedure of choice for the treatment of cancer at the lower and middle thirds of the esophagus.

Key words

Esophageal tumor Esophagectomy 


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    King RM, Pairolero PC, Trastek VE, et al. Ivor-Lewis esophagogastrectomy for carcinoma of the esophagus: early and late functional results. Ann Thorac Surg 1987; 44:119.PubMedCrossRefGoogle Scholar
  2. 2.
    1993; 15:358.Google Scholar
  3. 3.
    1993; 15:362.Google Scholar
  4. 4.
    1994;1:245.Google Scholar
  5. 5.
    Sugimachi K, Walanabe M, Sadanga N, et al. Recent advances in the diagnosis and surgical treatment of patients with carcinoma of the esophagus. J Am Coll Surg 1994; 178:363.PubMedGoogle Scholar
  6. 6.
    Baba M, Aikou T, Yoshinka H, et al. Long-term results of subtotal esophagectomy with three field lymphadenectomy for carcinoma of the thoracic esophagus. Ann Surg 1994; 219:310.PubMedCrossRefGoogle Scholar
  7. 7.
    Kato H, Tachimori Y, Watanbe H, et al. Lymph node metastasis in thoracic esophageal carcinoma. J Surg Oncol 1991; 48:106.PubMedCrossRefGoogle Scholar
  8. 8.
    1987;25:449.Google Scholar
  9. 9.
    1987; 25:453.Google Scholar

Copyright information

© Chinese Journal of Cancer Research 1997

Authors and Affiliations

  • Wu Changrong 
    • 1
  • Zhang Zhenbin 
    • 1
  • Xue Hengchuan 
    • 1
  • Zhu Zonghai 
    • 1
  1. 1.Yangzhong People’s HospitalYangzhong County

Personalised recommendations