左颈胸两切口手术治疗中、上段食管癌210例分析  

Clinical analysis of 210 esophageal carcinoma patients undergoing dual-inclsion surgery of left neck and chest

作　　者：楚社录[1] 郭惠琴[2] 

机构地区：[1]河南省三门峡市中心医院胸外科,472000 [2]中国医学科学院中国协和医科大学北京协和医院胸外科

出　　处：《中华全科医师杂志》2008年第8期560-561,共2页Chinese Journal of General Practitioners

摘　　要：分析210例中、上段食管癌切除、食管胃经食管床颈部吻合者手术治疗资料，探讨中、上段食管癌切除、胃代食管位于食管床左颈胸部吻合的临床效果。全组患者无死亡，术后吻合口瘘5例（2．4％），经拆除颈部切口缝线、换药等处理后痊愈。吻合口狭窄13例（6．2％），经胃镜下气囊扩张治疗，痊愈9例，好转2例，无效2例，临床效果满意。该手术操作方便，较符合生理功能，术后并发症少、病死率低，值得临床推广。This investigation was to analyze surgical treatment data of 210 patients undergoing mid- upper-esophagectomy and esophagogastroplasty through esophagus bed during June 1996 and June 2006 to evaluate the efficacy of this alternative strategy. No death was reported. Fistula occurred in 5 patients （2.4%） and cured by suture and dressing change. Thirteen patients （6.2%） developed stricture and received endoscopic balloon ductal dilatation. Of them, 9 patients completely recovered, 2 improved, and 2 showed no response. These findings suggest that our surgical procedure is simple, fits for physiological function, and results in fewer post-operative complications and lower mortality, thus could be an ideal treatment option for mid-upper esophageal carcinoma.

关 键 词：食管肿瘤 胸外科手术 临床分析 治疗方法 

分 类 号：R735.1[医药卫生—肿瘤]