Application of homeochronous operative treatment for synchronous primary cancer of esophagus and lung

Obj ective To evaluate the allocation of homeochronous operative treatment for synchronous primary cancer of esophagus and lung.Methods 20 patients with synchronous prima-ry cancer of esophagus and lung were performed with curative resections of esophagus and lung syn-chronously.Surgical approaches included one incision through left thorax,one incision through right thorax,two incisions though upper abdomen and right thorax,with 7,8 and 5 cases respectively. Results 20 patients completed surgery and 5 of them reported postoperative complications.Accord-ing to the surgical approach,the operative time,blood loss,mean volume of drainage fluid and in-dwelling time significantly reduced in approaches of one incision through left thorax and one incision through right thorax (P<0.05 orP<0.01).2 patients lost to follow up and 1,3,5 years survival rate were 67.9%,47.4%,44.4%respectively.Conclusion Homeochronous operative treatment is feasible for synchronous primary cancer of esophagus and lung.