食管癌侵犯主动脉的外科治疗  

Surgical treatment of 12 cases of esophageal carcinoma involving aorta

作　　者：谭文锋[1] 杨康[1] 廖克龙[1] 

机构地区：[1]第三军医大学西南医院胸心外科,重庆400038

出　　处：《第三军医大学学报》2005年第24期2453-2454,共2页Journal of Third Military Medical University

摘　　要：目的总结12例晚期食管癌侵犯主动脉外科手术治疗的经验。方法常规行食管癌切除,食管胃颈部吻合或主动脉弓上吻合。胸主动脉局部外膜切除2例,主动脉部分切除直接缝合2例,GoreTex补片主动脉成形7例,人工血管置换1例。结果12例患者均于2周内顺利恢复,未出现主动脉瘘等严重并发症。结论外科治疗可扩大食管癌侵犯主动脉患者的手术适应证,改善生活质量。Objective To present the experience of surgical treatment of 12 patients with advanced carcinoma of esophagus involving aorta. Methods Resection of esophageal carcinoma and cervical esophago-gastrostomy or supraaortic esophago-gastrostomy were done in 12 patients. In all 12 patients, the resection of limited aortic adventitia was performed in 2 patients, excision of aorta and simple suture in 2 patients and aortoplasty with Gore-Tex patch in 7 patients, the resected segment was replaced with artificial vessel in 1 patient. Results Complete recovery was achieved in 2 weeks in 12 patients, without severe complications such as aortic fistula. Conclusion Surgical treatment expands the operative indications for patients suffering from esophageal carcinoma involving aorta and improves their life quality.

关 键 词：食管癌 主动脉 血管外科 

分 类 号：R730.56[医药卫生—肿瘤] R732.21[医药卫生—临床医学]