Comparison of conventional Lewis-Tanner two-stage oesophagectomy with the synchronous two-team approach

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Abstract
Twenty‐seven patients with oesophageal carcinoma had subtotal oesophagectomy by the Lewis‐Tanner operation (group 1, n = 14) or a synchronous modification (group 2, n = 13). Synchronous operations were completed more quickly (230 versus 305 min, P versus 120 min, P versus 30mmHg, P versus 3 units, P <0·01). Four patients in group 1 suffered significant postoperative complications, compared with seven in group 2; three postoperative deaths occurred in group 2. This study suggests that the synchronous two‐team oesophagectomy produces a higher incidence of complications than the conventional operation. Continued use of the Lewis‐Tanner two‐stage oesophagectomy is recommended for patients with carcinoma of the oesophagus.