食管癌和贲门癌2638例外科治疗分析  

AN ANALYSIS OF SURGICAL TREATMENT OF ESOPHAGEAL AND CARDIAC CARCINOMA-A REPORT OF 2638 CASES

作　　者：陈景起[1] 卢诗杰[1] 陈玉泉[1] 杨捷生[1] 杨卫平[1] 翁准[1] 陈于平[1] 

机构地区：[1]汕头大学医学院第一附属医院胸外科,515031

出　　处：《癌症》1991年第2期125-127,131,共4页Chinese Journal of Cancer

摘　　要：1975至1988年外科治疗食管癌和贲门癌2638例,总切除率79.0％,其中食管癌切除率84.4％(1362/1613),贲门癌切除率70.3％(721/1025)。术后六项主要并发症发生率12.3％,其中吻合口瘘率4.1％。总手术死亡率2.1％,切除死亡率2.5％。切除术后5年及10年生存率分别为食管癌22.4％和15.1％,贲门癌15.3％和13.8％。分析表明影响术后5年生存率主要因素为临床病理分期。本文并对切除率,手术并发症及防治措施,提高远期生存率方面进行讨论。2638 cases of esophageal or cardiac carcinoma had been treated during 1975 to 1988. The general resection rate was 79.0%, it was 84.4% (1362/1613) in esophageal carcinoma and 70.3% (721/1025) in cardiac carcinoma. The incidence of six major postoperative complications was 12.3% . The anastomotic leakage occured in 4.1% . The general mortality rate was 2.1% and the resection mortality rate was 2.5% . The 5-and 10-years survival rates were 22.4% & 15.1%, respectively in esophageal carcinoma, and 15.3% & 13.8% in cardiac carcinoma. The important prognostic factors are the clinical pathological staging, the length of the tumor and the metastasis of regional lymph nodes. The resection rate, postoperative complications, prophylactic and therapeutic measures and the method for improving the long-term survival were discussed.

关 键 词：食管肿瘤 贲门肿瘤 外科手术 

分 类 号：R735.105[医药卫生—肿瘤]