摘要
1985~1995年共为121例食管癌患者施行了外科手术,其中食管切除术100例,转流术12例,单纯探查9例。切除组中食管次全切除、胃(83/100)或结肠(2/100)_残食管颈部吻合术85例;食管部分切除、食管胃胸内吻合15例(弓上7例、弓下8例)。82%(7/85)伴发颈部吻合口瘘,均行保守治疗治愈。15例胸内吻合者术后均有消化道症状,而颈部吻合者只有247%(21/85)有消化道症状。作者认为:食管次全切除、颈部食管重建更符合肿瘤广泛切除的治疗原则,也接近食管的生理功能与解剖要求,减轻了术后以反流为主的消化道症状。手术操作方便,便于处理与吻合口有关的并发症。
From 1985 through 1995 a total of 121 patients underwent surgery for esophageal carcinoma in our department. Among them 100 resections, 12 by_pass operations, and 9 sole_explosion were performed, for a overall resectability of 83%, of the resections 85(85%) were subtotal_ esophagectomy with cervical anastomeses and 15 (15%) partial_esophagectomy with intrathoracic anastomeses. The stomach was used as substitute for the esophagus in 98% compared with 2% colon transplants The clinical results and information from docunments support the surgical oplicy we have persued thus far: subtolal esophagectomy with cervical reconstruction having more advantages than partial esophagectomy with intrathoracic anastomoses.
关键词
食管肿瘤
外科手术
esophageal neoplasms/SU
methods