摘要
目的 探讨残胃贲门癌和食管癌的外科术式选择及处理要点。方法 1991～ 2 0 0 3年间 18例残胃贲门癌和食管癌患者 ,其中食管中段癌 3例 ,食管下段癌 2例 ,贲门癌 13例。行残胃代食管 2例 ,结肠代食管 3例 ,空肠代食管胃 13例。结果 全部治疗病例中术后吻合口瘘 1例 ,17天死亡 ,上切缘阳性 1例。 1年生存率 72 2 % (14 / 18)。 3年生存率 5 0 % (9/ 18)。结论 结肠代食管是颈部吻合较理想的选择。胸腔内吻合可视具体情况选择残胃、空肠代部分食管及胃。
Objective To study the surgical procedure and feature of cardiac or esophageal carcinoma after gastrectomy. Methods From 1991 to 2003,of 18 patients after gastrectomy with cardiac or esophageal carcinoma, 3 cases with mid-esophageal carcinoma,2 cases with distal esophageal carcinoma,13 cases with cardiac carcinoma. Remnant gastric was used to rebuilt digestive tract in 2 cases;colon was used in 3 cases;jejunum was used in 13 cases. Results Of all cases,anastomotic leakage occurred in 1 case who died after operation at 17 days;upper fringe was postive in 1 case.Survival rate was 72 2%(14/18)and 50%(9/18)in 1 year and 3 years respectively.Conclusion Reconstruction of diges-tive tract after gastrectomy in the patient with esophageal and cardiac carcinoma,colon was suitable choice when anastomosis was performed in cervical;thoracic anastomosis can be used remnant stomach or jejunum.
出处
《现代肿瘤医学》
CAS
2004年第6期557-558,共2页
Journal of Modern Oncology
关键词
食管癌
贲门癌
手术治疗
术式
esophagea1 carcinoma
gastrectomy
operation
