同时性食管胃重复癌的诊断及治疗(附15例报告)  

Synchronous esophageal cancer associated with gastric cancer:diagnosis and teatment(a report of 15 cases)

作　　者：姚斌[1] 张忠志[1] 钟镭[2] 

机构地区：[1]解放军第184医院外科,江西鹰潭335000 [2]第二军医大学长征医院胸心外科,上海200003

出　　处：《四川医学》2009年第11期1732-1733,共2页Sichuan Medical Journal

摘　　要：目的探讨同时性食管胃重复癌的诊断及治疗。方法回顾性分析1985年1月~2007年1月第二军医大学长征医院收治的15例同时性食管胃重复癌患者的临床资料。结果全组均行同期食管次全切除并全胃切除、结肠代食管并空肠＂P＂襻代胃重建消化道。无围手术期死亡。术后2例出现颈部吻合口瘘,1例出现不全性肠梗阻,均保守治愈;1例出现腹部切口感染裂开,经换药后二期缝合治愈。10例获得随访,术后1、3、5年累积生存率分别为100%、40%、20%。结论X线钡餐和电子内镜检查对同时性食管胃重复癌的术前诊断具有重要价值,相互配合可提高术前诊断率。手术切除是同时性食管胃重复癌安全有效的治疗手段。Objective To investigate the diagnosis and treatment of synchronous esophageal cancer associated with gastrie cancer. Methods The clinical data of 15 patients with synchronous esophageal cancer associated with gastric cancer admitted between January 1985 and January 2007 in the Changzbeng Hospital was analyzed retrospectively. Results All eases were performed synchronous subtotal esophagectome with colon and total gastrectomy with reconstruction with P-shaped jejunum. No perioperative death or major complications occurred in the group. Two patients had post-operative anastomotic leakage. One patient post-operatively had incomplete intestinal obstruction and one patient had pest-operative abdominal incisive dehiscence. All these post-operative complications were cured. Ten patients were followed up and 1-,3-,5-year survival rate was 100% ,40% ,20%, respectively. Conclusion The X-ray barium meal check combined with endoscopy had important diagnostic value to synchronous esophageal cancer associated with gastric cancer,it can improve the diagnosis rate. Surgical treatment of synchronous esophageal cancer associated with gastric cancer was safe and effective.

关 键 词：食管 胃 重复癌 诊断 外科手术 

分 类 号：R735[医药卫生—肿瘤]