摘要
目的:分析总结经右胸、腹部二切口手术治疗胸段食管癌的疗效与体会。方法:回顾分析1998年1月~2000年12月经腹部正中切口游离胃,右胸后外侧切口切除食管肿瘤,食管胃胸顶机械吻合,并行二野淋巴结扩大清扫术的220例胸段食管癌患者的临床资料。随访1、3、5年的生存率。结果:220例切除率96.4%(212/220),并发症7.3%(16/220),无围手术期死亡,术后1、3、5年的生存率Ⅰ期为100.0%、86.9%、82.6%,Ⅱa期为87.3%、81.8%、56.4%,Ⅱb期为81.1%、67.4%、44.2%,Ⅲ期为57.4%、25.5%、17.0%。结论:右胸、腹部二切口手术治疗胸段食管癌是一种安全、有效的手术方法,术后结合放化疗可提高患者的远期生存率。
Objective: To evaluate the clinical effects of surgical treatment by right posterior thoracotomy and laparotomy for patients with thoracic esophageal carcinoma. Methods: From January 1998 to December 2000, 220 patients with esophageal carcinoma of the thoracic segment underwent a radical esophagectomy and a two-incision lymphadenectomy by right posterior thoracotomy and uppermiddle laparotomy, with postoperative radiochemotherapy. Results: The rate of surgical resection was 96.4% with a complication rate of 7.3%. The 1, 3 and 5-year survival rates were 100%, 86.9% and 82.6% in Stage Ⅰ, 87.3%, 81.8% and 56.4% in Stage Ⅱa, 81.1%, 67.4% and 44.2% in Stage Ⅱb and 57.4%, 25.5% and 17.0% in Stage Ⅲ, respectively. Conclusion: Esophagectomy by right thoracotomy and laparotomy is a safe and effective procedure. The long-term survival rate can be improved if proper postoperative radiochemotherapy is conducted.
出处
《中国肿瘤临床》
CAS
CSCD
北大核心
2007年第6期341-343,共3页
Chinese Journal of Clinical Oncology
关键词
食管癌
手术治疗
生存率
切除率
Esophageal carcinoma
Surgical treatment
Survival rate
Excision rate