Eight-year experience in XXXX surgery.

@entity1 @entity834 @entity5 @entity10751 @entity418 @entity1282
AIM: @entity418 remains a major and lethal health problem. In Nepal, not much has been explored about its management. The aim of this study was to conduct a retrospective review of @entity418 @entity1 undergoing surgery or combined modality treatment at a @entity5 hospital in Nepal. MATERIALS AND METHODS: Resectable cases were treated primarily with surgery. Locally advanced cases with doubtful or obviously unresectability underwent preoperative chemo/radiation or chemoradiation followed by surgery. RESULTS: Among 900 @entity1 , 103 were treated with curative intent. Mean age of @entity1 was 54 years, and 100% of the @entity1 presented with complaint of @entity1282 . Surgery as a single modality of treatment was done in 57% of cases, and the remaining underwent combined modality treatment. Transthoracic and transhiatal approaches were used in 95% and 5% of cases, respectively. Nodal sampling, two-field (2- @entity10751 ), and three-field lymphadenectomy (3- @entity10751 ) were done in 18%, 59%, and 20% of cases, respectively. A majority of @entity1 had pathological @entity5 (46.6%). In-hospitality mortality was 5%, and @entity834 rate was 14%. In 87% of @entity1 , R0 resection was achieved. Overall, 4-year survival was 20%. A R0 resection, early-stage disease and 3- @entity10751 favored the survival advantage (P < 0.05). CONCLUSION: The mortality, complication, and survival results were in the acceptable range. R0 resection and radical nodal dissection should be standard practice.
