左心转流下进行食管癌切除与胃食管重建

Esophageal carcinoma resection and gastroesophageal reconstruction under left heart bypass

目的 探讨左心转流下在食管癌切除与胃食管重建中的价值。方法 食管癌侵及降主动脉 ,应用常规手术方法无法切除 ,采用左心转流辅助完成食管癌切除与胃食管重建。结果 在食管癌切除与胃食管重建中应用左心转流技术明显提高了肿瘤切除的机率 ,患者术后生活质量良好。结论 对部分侵及降主动脉的晚期食管癌患者 ,应用左心转流技术可增强外科手术的安全性 ,疗效确切 。

Objective To estimate the value of applying left heart bypass technique in esophageal carcinoma resection and gastroesophageal reconstruction . Methods The operation was performed under left heart bypass. Results Applying left heart bypass during esophageal carcinoma resection and gastroesophageal reconstruction increased the probability of the resection. The patient lived better and without operative complication. Conclusion In case of esophageal carcinoma with invasion of descending aorta by carcinoma, left heart bypass may increase the probability of the resection and enhance the safety of surgical treatment.