非开胸食管内翻拔脱术治疗早期食管癌  

The Treatment of Early Esophageal Cancer with Transhiatal Esophagectomy without Thoracotomy

作　　者：王晓武[1] 窦拉加[1] 张建国[1] 张成武[1] 杨守仁[1] 

机构地区：[1]青海大学医学院附属医院肿瘤外科,810001

出　　处：《青海医药杂志》2007年第12期6-9,共4页Qinghai Medical Journal

摘　　要：目的:探讨非开胸食管内翻拔脱术治疗早期食管癌的临床意义。方法:选择早期食管癌患者36例行手术治疗:对不宜作开胸手术者18例进行非开胸食管内翻拔脱术,能耐受开胸手术者18例给予开胸手术治疗作为对照。对两种术式的手术操作时间、术中及术后总出血量、术后并发症、3年生存率、平均住院天数及费用等进行综合分析研究。结果:两组手术均顺利完成,病灶均获完整切除。研究组及对照组各1例于术后2年内死于心脑血管疾病。结论:非开胸食管内翻拔脱术治疗早期食管癌,疗效肯定,为心肺功能差及高龄(>70岁)患者创造了手术治疗的机会,拓宽了食管癌治疗的手术指征。Objective:To explore the clinical meaning on the treatment of early esophageal cancer with transhiatal esophagectomy without thoracotomy.Methods:36 patients with early esophageal cancer were treated by operation.18 of 36 patients were operated by transhiatal esophagectomy without thoracotomy due to unavailable thoracotomy.We comprehensively analyzed and studied such things as:the operative duration,the total bleeding amounts during and after the operation,complications,3 year survival rate after operation,mean hospitalization days,hospitalization cost.Results:The operation of two groups were satisfactory,the focuses were excised completely.One patient in study group and in control group died of cardio-cerebral-vascular-disease within two years after the operation.Conclusions:The treatment effects of transhiatal esophagectomy without thoracotomy on early esophageal cancer were sure;this method makes the operation suitable for such the patients as:poor cardio-pneumatic function and advanced age(>70-year-old),at the same time,it adds the operative indication of the treatment of esophageal cancer.

关 键 词：早期食管癌 非开胸 食管内翻拔脱术 

分 类 号：R735.1[医药卫生—肿瘤]