全食管切除胃咽吻合治疗颈段食管癌和食管瘢痕狭窄8例报告  

8 cases report of total esophagectomy with gastro-pharynx anastomosis for esophagealcarcimoma and cautery esophageal stenosis

作　　者：权宽宏[1] 罗宏伟[1] 张伟[1] 焦海峰[1] 韩英杰[1] 

机构地区：[1]西安高新医院胸外科,陕西西安710075

出　　处：《现代肿瘤医学》2009年第3期477-478,共2页Journal of Modern Oncology

摘　　要：目的:探讨全食管切除胃咽吻合治疗颈段食管癌及全段食管狭窄的手术方法及效果。方法:全组共8例,其中7例为颈段食管鳞癌,TNM分期IIa期;1例为化学烧伤致全食管狭窄。采用左侧颈、胸径路切除食管,清除淋巴结,从小弯侧缩胃呈管状,与咽部行端侧吻合。结果:除1例术后7天发生吻合口瘘及肉芽肿,经引流、内镜微波治疗痊愈,其余7例无并发症发生,进食顺畅,术后平均18天治愈出院。随访6个月至5年,1例失访,存活5年、3年者各2例,3例已超过6个月。结论:胃咽吻合治疗颈段食管癌及食管瘢痕狭窄,方法可行,并发症少,发生吻合口瘘容易控制。Objective：To study the procedure and reliability of gastro-pharynx anastomosis for esophageal carcimoma and cautery esophageal stenosis.Methods：Eight patients including seven cases of esophageal carcinoma of cervical section and one case of cautery esophageal stenosis.Esophogectomy was performed through left lateral thoracic and cervical incision.The stomach was mobiliged,the artrictube was created.And then the fastro-pharynx customosis was made by end to side.Results：All patients recovered smoothly except one case of cervical anastomosis leakage.The average hospitaliged stay days was eighteen days.Seven patients were followed up for six months to five years except one losing.Five and three years survival were for each two cases respectively,another three cases alived exceeded six months postoperatively.Conclusion：Gastro-pharynx anastomosis is useful and reliable for the esophageal carcimoma and benign esophageal stenosis.

关 键 词：颈段食管癌 食管瘢痕狭窄 胃咽吻合 

分 类 号：R735.1[医药卫生—肿瘤]