407例小于3cm的食管癌外科治疗结果分析

Results of Surgical Treatment of 407 Cases with Esophageal Carcinoma Shorter than 3cm

本文讨论了长度＜３ｃｍ的食管癌外科治疗结果。全组４０７例中Ⅱ期以下者占７９．１％，手术切除率为９７．７％，手术切除死亡率为０．７％。随诊１～５年结果：１年存活率为８９．７％；３年存活率７１．４％；５年存活率５５．２％。该组病例治疗效果较满意，这表明了食管病变的长度与侵犯的深度有正相关系，即病变越短外侵越轻，淋巴结转移率越低，相反亦然。根据食管瘤多点起源的观点，我们主张不论病变长短，都应行全食管切除，颈部吻合，以减少复发的机会。

This article analysed the results of 407 cases with esophageal carcinoma shorter than 3cm treated surgically. In this group stage Ⅰ or Ⅱ made up 79. 1%. The overall resectability was 97. 7%. The operative mortality was 0. 7%. The 1-, 3-, 5-year survival rates were 89.7%, 71. 4%, and 55. 2 %, respectivity. These satisfactory results indicated that the length of focus was related to the depth of tumor invasion; i. e.,the shortecr the foci,the more shallowly the tumor invaded,and the lower the rate of lymph node metastasis. According to multiple foci of esophageal carcinoma,we advocated that esophagus should be resected completly and neck anastomosis should be taken to reduce local recurrence regardless of long or short focus.