改良三切口食管癌切除术成功切除18.3cm巨块型食管癌1例  

Modified(Wu's) esophagectomy for a huge thoracic esophageal squamous cell carcinoma 18.3 cm in length

作　　者：吴旭[1] 张振中[2] 刘南波[1] 张军花[3] 

机构地区：[1]南方医科大学南方医院惠侨医疗中心胸外科,广东广州510515 [2]南京医科大学附属淮安第一医院心脏外科,江苏淮安223300 [3]南方医科大学南方医院手术室,广东广州510515

出　　处：《南方医科大学学报》2016年第7期1018-1020,共3页Journal of Southern Medical University

摘　　要：报道1例长度为18.3 cm直径为5.1 cm的巨块型食管癌,检查发现发生食管气管瘘或食管胸主动脉瘘的风险极高。予患者行改良的颈胸腹三切口食管癌切除食管胃颈部吻合术(吴氏法)。手术顺利,术后恢复良好。随访半年,患者进食满意。据科技查新,本例为世界上手术完整切除的最长的食管癌。该个案提示,局部晚期的巨块型食管癌,可通过手术解除食管梗阻,消除发生食管气管瘘和食管主动脉瘘的风险。An esophageal squamous cell carcinoma measuring 18.3 cm in length and 5 cm in diameter was found in the mediastinum of a 53-year man.The patient underwent a modified 3-stage esophagectomy and an esophagogastrostomy at the cervical level（Wu＇s method）.The operation was performed smoothly and the patient recovered uneventfully after the operation.The patient was followed up for 6 months after discharge and reported no difficulties in eating with improved quality of life.This case represents the world＇s longest esophageal cancer that had been surgically removed.Local advanced esophageal cancer should be removed immediately to prevent potential occurrence of esophageal obstruction,tracheoesophageal fistula or aorto-esophageal fistula.

关 键 词：食管癌 食管切除术 食管梗阻 食管气管瘘 食管主动脉瘘 

分 类 号：R735.1[医药卫生—肿瘤]