食管癌的选择性分期手术  

SELECTED STAGED OPERATION FOR ESOPHAGEAL CARCINOMA

作　　者：姚喆[1] 孙德魁[1] 周允中[1] 陈文虎[1] 高成新[1] 

机构地区：[1]上海市胸科医院胸外科,上海200030

出　　处：《肿瘤》2001年第5期372-373,376,共3页Tumor

摘　　要：目的　总结对食管癌患者分期手术的治疗结果 ,探讨分期手术的方法、优点、适应症及术后的有关问题。方法　第一期手术行食管切除外置和胃造瘘或空肠造瘘 ,第二期行食管重建术或采用三期手术法 ,第一期行胃造瘘 ,后两期同前。两期间隔时间从 2 0天到 1年余 (平均 5 7天 )。结果　本组病例 47例中两期手术法 41例 ,三期手术法 6例。手术死亡率 2 .1% ,并发症主要为吻合口瘘 (17% )。结论　分期手术对于某些有特殊情况的食管癌患者其安全性更高。Objective To summarize the result of staged operation for special patients of esophageal carcinoma, and to assess its technique, indication and some postoperative problems.Methods First stage, esophagectomy and gastrostomosis jejunnostomy. Second stage, reconstruction. Or three stage operation. The first stage was gastrotomosis jejunnostomy. Two other stages were the same as before. Results 47 were two stage operation. 6 were three stage operation. The operative mortality was 2.1%. The main morbidity was anastomotic portion leakage(17%). Conclusion Staged operation was a safe way for the poor risk patients with esophageal carcinoma.$$$$

关 键 词：食管癌 分期手术 外科手术 手术方法 

分 类 号：R735.1[医药卫生—肿瘤] R730.56[医药卫生—临床医学]