食管癌术后切缘癌残留88例分析

RESIDUAL CANCER AT THE MARGIN OF RESECTION IN CANCER OF THE ESOPHAGUS OF 88 CASES

本文报道我科１９７７年至１９８７年手术切除食管癌８７３例，术后切缘癌残留８８例，发生率为１０．１％。术后１、５、１０年生存率为７２．７％、１５．９％、９．２％。分析认为食管癌术后切缘癌残留的主要原因是食管切除长度不足，特别是胸中段食管癌。因此，应当切除足够长度的食管，行食管一胃颈部吻合术和术前放疗，以减少切缘癌残留的发生。

cases with esphageal carcinoma who were operated between1971 to 1987 are reported.Residual cancer at the margin of resection were found in 88cases(10.1%). The survival rates at 1-,3-and 5-years after operation were 72.7%,15.9% and 9.2% respectively.The major cause of this was that the length of the eso-phgus excised was not enough,especially for the lesion in the middle and lower third ofthe esophagus.Thus,it is desired that the extent of the resection is enlarged and per-foumed cervical esophagogastrostomy,and it be received radio therapy of preoperation.