70岁以上患者颈段及胸上段食管癌的外科治疗  

Surgical treatment for cervical and upper thoracic esophageal carcinoma in patients aged over 70

作　　者：贾维坤[1] 马顺然[1] 杜丹妮[1] 

机构地区：[1]川北医学院附属医院胸心外科,四川南充637000

出　　处：《局解手术学杂志》2014年第1期49-50,共2页Journal of Regional Anatomy and Operative Surgery

摘　　要：目的探讨70岁以上患者颈段及胸上段食管癌的外科治疗。方法回顾性分析68例70岁以上颈段及胸上段食管癌患者的临床资料,全组患者均经左胸左颈二切口食管癌切除局部淋巴结清扫,食管-胃颈部吻合术。结果 68例患者均顺利完成手术切除食管肿瘤,死亡3例,其余病例恢复良好出院,术后主要并发症为心、肺并发症及吻合口瘘。结论高龄高位食管癌手术难度大、术后并发症多,经左胸左颈二切口颈部吻合手术方式能缩短手术时间,减少术后并发症,提高手术疗效。Objective To explore the surgical treatment of cervical and upper thoracic esophageal carcinoma in patients aged 70 or ol- der. Methods A retrospective analysis were made among 68 patients who were over 70 years old, and all the patients have undergone stom- ach esophagus cervical anastomosis through esophageal carcinoma excision and regional lymph node cleaning. Results All the 68 patients have completed the surgery successfully, and they have recoveried well except 3 cases of death. And the main postoperative complication was cardiopulmonary complication and anastomotic fistula. Conclusion Operative treatment of ercervical and upper thoracic esophageal carcino- ma for elderly patients is characterized with highly difficulty and more complications. Stomach esophagus cervical anastomosis through 2-inci- sion with left chest and left neck could simplify the operative procedure, decrease the postoperative complication and improve the curative effect.

关 键 词：高位食管癌 高龄患者 左颈左胸二切口 外科治疗 

分 类 号：R655.4[医药卫生—外科学]