Abstract:
Even through the esophageal câncer has innumerable treatment options, its prognosis is still unsettled.Because esophagectomy is rarely curative, others therapies ,such as chemoradiation emerging in advanced disease followed or not surgery.The salvage esophagectomy is an alternative for those patients with recurrent disease.Thus the intend is show the results of the salvage esophagectomy in patients with esopha-geal câncer who had previously undergone chemoradiation and discussion about the morbidity of this surgical tecnic .Too, its show the our experien-ce in 72 patients with unrresectabeled esophageal carcinoma were treated with chemorradiation followed by salvage esophagectomy by transtoracic approach.Patients was evaluated with regard pos-operative complica-tions and disease free survival. The major complications was deiscence at the level of the of the anastomosis esophagogastric cervical, presents in 16 patients(22,2%) and pulmonar infection in 23 patients (31,9%). In 53 patients that were available for a five years follow-up ,was a rate of 43,3% (23 patients) of disease free survival.Thus with the results its conclued that the salvage esophagectomy seems to be valuable in cases without any other therapeutic Options.
