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)。8.2%(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24.7%(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.
作者
谢伟
陈克能
杨国梁
袁宏银
解云涛
胡名柏
Xie Wei;Chen Keneng;Yang Guoliang(Department of Oncology,Second Affiliated Hospital,Hubei Medical University,Wuhan 430071,China)
关键词
食管肿瘤
外科手术
esophageal neoplasms/SU
methods
