摘要
目的:探讨食管癌根治术的主要并发症及其预防措施。方法:分析689例食管癌根治术后主要并发症发生情况,总结经验教训,探讨预防措施。结果:食管癌根治术后并发症总发生率为22.4%(155/691),其中肺部并发症16.8%,吻合口瘘5.1%,乳糜胸1.0%,脓胸0.7%。并发症死亡率为14.8%(23/155),因肺部并发症死亡者占43.4%(10/23),因吻合口瘘死亡者占21.7%(5/23)。结论:食管癌根治术后并发症仍以肺部并发症、吻合口瘘多见,且为主要死亡原因。做好术前准备,严格规范手术操作,是预防并发症的主要措施。
Objective：To discuss the main complications in radical surgery for esophageal carcinoma and the prevention. Methods： The clinical data of 689 patients with esophageal carcinoma admitted to our department from 1996 to 2007 treated with radical esophagectomy were analyzed. Results ： The incidence of the complications was 22.4%. The main complications were as follows： pulmonary complications （ 16.8% ）, anastomotic leak （5.1% ）, chylothorax （ 1.0% ）and empyema（0.7% ）. The hospital mortality rate was 3.3%. The main death causes were pulmonary complications（43.4% ） and anastomotic leak（21.7% ）. Conclusion： The major complications following radical surgery for esophageal carcinoma are pulmonary complications and anastomotic leak. They are also the main death causes. Making a good preoperative preparation, standardizing the operative procedure are the critical measures of preventing the complications.
出处
《现代肿瘤医学》
CAS
2008年第4期572-574,共3页
Journal of Modern Oncology
关键词
食管癌根治术
并发症
预防
radical surgery for esophageal carcinoma
complications
prevention
