摘要
目的探讨食管癌根治性放疗后复发的外科治疗方法。方法回顾分析86例根治性放疗后复发的食管癌患者行外科手术的临床资料。全部患者均采用左胸径路,其中高位弓上吻合48例,左颈部吻合32例。结果手术切除率93.0%(80/86),并发症发生率29.1%(25/86),切除组术后1、3、5年生存率分别为70%、45%、40%。结论外科治疗对根治性放疗后复发的中下段食管癌患者能取得很好疗效,但应严格掌握手术适应证。
Objective To explore surgical treatment for recurrence of esophageal carcinoma after radical radiotherapy. Methods Retrospectively analysed 86 cases of surgically treated esophageal carcinoma after radical radiotherapy and reviewed related literature. All of the patients were operated by left thoracotomy,48 by supra aortic arch esophagogastrostomy,32 by left cervical esophagogastrostomy. Results The overall resectability was 93.0% （80/86）. The postoperative complication rate was 29.1%（25/86）. The 1,3 and 5 year postoperative survival rate was 70%,45% and 40%,respectively. Conclusion Surgical treatment can make good effect for the patients of middle-inferior segment recurrence esophageal carcinoma after radical radio- therapy, however, surgical indication should be strictly controlled.
出处
《中国现代医药杂志》
2015年第12期39-41,共3页
Modern Medicine Journal of China
关键词
食管癌
根治性放疗
复发
外科治疗
Esophageal carcinoma
Radical radiotherapy
Recurrence
Surgical treatment
