摘要
目的 :探讨食管癌根治性放疗后复发病例手术治疗问题。方法 :1983年 1月至 1995年 10月间 ,对4 8例食管癌根治性放疗后复发病例施行手术治疗 ,手术以左侧进胸胃代食管弓下吻合 ,二切口左侧进胸胃代食管颈部吻合及三切口右侧进胸胃或结肠代食管颈部吻合完成。结果 :手术切除率 79.2 % ,手术死亡率 12 .5 % ,术后并发症率 3 5 .4 %。最常见的并发症为吻合口瘘。切除组术后 1,3 ,5年生存率分别为 65 .8%、2 8.9%、18.4 %。结论 :对食管癌根治性放疗后复发的手术适应证应严格掌握 。
Objective:To evaluate surgical tereatment for recurrent esophageal carcinoma after curative radiotherapy. Methods:From January 1983 to October 1995 48 patients with recurrent esophageal carcinoma after curative radiotherapy were received surgical treatment.The surgical procedures include:①Esophagus was substituted by stomach with anastomosis under aortac through a left lateral thoracotomy; ②Replacing esophagus with stomach with neck anastomosis through two incisions in left chest; ③Esophagus was substituted by stomach or colon with the cervical anastomosis through triple incisions in right chest. Results:The overall resectability was 79 3%(38/48).The operative mortality was 12 5%(6/48). The postoperative complication rate was 35 4%(17/48). The 1 ,3 ,5 year survival rates were 65 8%(25/38),28 8%(11/38), 18 4%(7/38), respectively. The most common complication was anastomic leakage. Conclusion:Surgical indication should be strictly controlled and anastomotic stoma should be placed outside of the radiation field.
出处
《癌症》
SCIE
CAS
CSCD
北大核心
2000年第2期168-169,共2页
Chinese Journal of Cancer
关键词
食管肿瘤
放射疗法
外科手术
Esophageal neoplasm, Radiotherapy, Surgical therapy
