胃大部切除术后食管癌的手术治疗

Surgical therapy of esophageal carcinoma in patients underwent partial gastrectomy

目的探讨胃大部切除术后食管癌的手术治疗方法及疗效。方法胃大部切除术后食管癌患者7例,采用经左胸后外侧切口行食管癌切除,将残胃、脾脏及胰尾移入胸腔行食管-残胃器械吻合。结果全组手术均获成功。住院期间无死亡病例发生,无吻合口瘘等严重并发症。结论 胃大部切除术后食管癌,采用残胃、脾脏、胰尾移入胸腔,食管-残胃器械吻合具有操作简单、创伤小、并发症少、手术时间短的特点,可以作为消化道重建的重要方式之一。

Objective To assess the techniqcue and outcomes of surgical therapy for esophageal carcinoma in the patients underwent subtotal gastrectomy.Methods Data of 7 cases with esophageal carcinoma who underwent subtotal gastrectomy before were retrospectively analyzed.The redical operations for esophageal carcinoma were performed via left chest posterolateral incision.The residual stomach,spleen and tail of the pancreas were transplanted into the thoracic cavity and anastamosis between esophagus and residual stomach was performed.Results All operations were successful with no serious complications and inhospital mortality.Conclusion The surgical therapy was successfully performed in esophageal carcinoma patients,especially in the medial and lower esophageal carcinoma,who had been received subtotal gastrectomy.The procedures used above have the advantages of simplicity,less trauma,low complications,shorter operating time,and can be taken as one of the effective methods for reconstruction of digestive tract.