1984 Volume 35 Issue 2 Pages 147-151
Among the resected cases of esophageal cancer, the cancer have involved the neighboring visceral organs in 25 to 30%. Five year survival rate was 30% in such cervical esophageal carcinoma with invasion neighboring visceral organs and less than 2% in such thoracic esophageal carcinoma. As for invaded visceral organs, larynx-trachea was involved in 60% of cervical carcinoma, but aorta, lung and trachea-bronchus were involved in 54%, 16% and 13% of thoracic esophageal carcinoma, respectively. As for the clinical result of the thoracic esophageal carcinoma, five-year survival rate of the cases invaded to aorta was 4.2%, but none of the cases invaded to trachea or lung survived over 2 years. Studying on the outcome of non-resection cases according to their causes of non-resectability, the cases which could not be resected due to general condition showed 4.7% of five-year survival rate, but the cases due to the condition of carcinoma showed less than 0.5%, furthermore, there was no two year survivor among the cases involved the respiratory tract. Therefore, by the name of “isolation surgery”, we would like to advocate a method of no-touching to the primary lesion but dissecting the surrounding lymph nodes as much as possible and performing the post-operative therapy to the primary lesion intensively. And we reported a case treated with “isolation surgry” in the paper.
