保留胃网膜右血管弓胃代食管术治疗同期食管、胃双原发癌  

Surgical treatment of retaining the right gastro-omental blood vessel arch and esophageal replacement with gastric for synchronous primary carcinoma of esophagus and stomach

作　　者：陈瑞[1] 吕必宏[1] 何光明[1] 奚小祥[1] 许林[2] 

机构地区：[1]扬州大学医学院附属泰兴市人民医院胸外科,江苏泰兴225400 [2]南京医科大学附属江苏省肿瘤医院胸外科,江苏南京210009

出　　处：《中国肿瘤外科杂志》2016年第4期243-246,共4页Chinese Journal of Surgical Oncology

基　　金：江苏省恶性肿瘤分子生物学及转化医学重点实验室;江苏省科技厅重点专项(BM2013007)

摘　　要：目的探讨同期食管、胃双原发癌外科治疗的术式的选择。方法回顾分析泰兴市人民医院2010年8月至2015年9月期间35例同期食管、胃双原发癌接受手术治疗的患者的临床资料,其中20例采用保留胃网膜右血管弓胃代食管手术方式,15例采用结肠代食管手术方式。结果保留胃网膜右血管弓手术组与结肠代食管手术组在手术效果、术后并发症发生率及病死率方面相比差异均有统计学意义(P<0.05)。结论同期食管、胃双原发癌经保留胃网膜右血管弓手术方式是安全的,效果可靠,符合肿瘤根治原则。Objective To investigate the feasibility and operative procedures of synchronous double primary esophageal carcinoma associated with gastric carcinoma（ SDPECGC）. Methods A total of 35 patients with SDPECGC were treated by surgery from August 2010 to September 2015 and the data were analyzed retrospectively. Among them,20 cases underwent the operation of retaining the right gastro-omental blood vessel arch and esophageal replacement with gastric,15 cases were operated by the colon instead of the esophagus. Results The effect of surgery,postoperative complication rate and mortality were statistically significant between the operation of retaining the right gastro-omental blood vessel arch and the operation by the colon instead of the esophagus. Conclusions The surgical treatment of retaining the right gastro-omental blood vessel arch for SDPECGC is safe,the effect is reliable in accordance with the principle of tumor radical cure.

关 键 词：食管癌 胃癌 双原发癌 胃网膜右血管弓 胃代食管术 结肠代食管术 

分 类 号：R735[医药卫生—肿瘤]