非开胸全咽喉食管切除术治疗颈段食管癌10例  

Total Pharyngolaryngoesophagoectomy for 10 Cases Cervical Esophageal Carcinoma without Thoracotomy

作　　者：杨熙鸿[1] 陈于平[1] 林建英[1] 郭海鹏[1] 李华[1] 

机构地区：[1]汕头大学医学院附属肿瘤医院,广东汕头515031

出　　处：《河北医学》2009年第9期1031-1033,共3页Hebei Medicine

摘　　要：目的:探讨切除颈段食管癌、胃上提重建消化道的手术方法和疗效。方法:2001年3月至2004年8月,对10例颈段食管癌患者实施全咽喉食管切除,非开胸食管拔脱,经食管床胃上提,行胃咽吻合重建消化道,术后辅助放疗。结果:病理诊断均为鳞癌;无手术死亡;咽瘘1例。3例患者已分别生存7年6个月、7年、4年1个月,均为手术+放疗的病例。结论:全咽喉食管切除、非开胸食管拔脱并胃上提胃咽吻合术,是治疗晚期颈段食管癌的有效的手术方法。术后结合放射治疗非常重要。Objective： To evaluate surgical treatment, reconstruction method and treatment effect in cases with cervical oesophageal carcinoma. Method ： From March 2001 to August 2004, 10 cases with cervical oesophageal carcinoma received surgical treatments, which were total pharyngolaryngoesophagoectomy, stomach pulling - up to made gastro - oropharyngeal anastomosis through the oesophageal bed in the median. Planned radiotherapy postoperatively. Result： All pathological diagnosis were squamous cell carcinoma. No operative death case. Pharyngeal leakage in 1 case. Three survival cases have survived for 90 months, 84 months and 49 months respectively. They all received planned radiotherapy. Conclusion： Total pharyngo- laryngoesophagoeetomy（ PLO ） , oesophagus pullingout without thorax break, while stomach pulling -up, gastro -oropharyngeal anastomosis, which was an effective surgical method to treat advanced cases with cervical oesophageal carcinoma. It＇s important to treat the patients with planned radiotherapy postoperatively.

关 键 词：颈段食管癌 全咽喉食管切除术 胃上提 

分 类 号：R735.1[医药卫生—肿瘤]