肺癌累及食管的外科治疗(附18例报告)

目的 探讨肺癌累及食管的外科治疗的可行性。方法 对18例肺癌累及食管的患者施行手术治疗,14例手术切除肺肿瘤及扩大切除部分食管,其中7例仅切除局部受累的食管肌层,5例行受累段食管切除、胃食管吻合术,2例切除大部受累肌层,部分肿瘤残留;4例病人单纯探查。患者术前、后辅助化或(和)放疗。结果 该组无手术死亡。14例切除组患者1年生存率可达78．6％。9例正在随访中,最长者为34个月,单纯探查组无1例生存过1年。结论 肺癌单纯累及食管者,经术前辅助化疗后,手术切除肺及受累食管是可行的,大部分患者的近期效果理想,远期效果仍在观察。

Treatment of lung cancer invading esopheagus by surgery (analysis of 18 cases)

Objective To review the feasility of therapy to lung cancer invading esophagus by surgery Methods Eighteen patients with lung cancer invading esophagus were operated and 14 patients were received extended surgical resection including esophagectomy Most patients were treated with preoperative chemotherapy and postoperative chemotherapy or radiotherapy Results No death was occurred during operation One year survival rate of the 14 patients including 7 cases who received resection of involved myometrium of esophagus,5 cases receiving esophagectomy,2 cases being remained tumor tissue with incompletely resection is 78 6%,while no patient was survived over 1 year for the other 4 cases who underwent simple thoracotomy exploration Conclusion Surgical operation for lung carcinoma invading esopheagus is feasible after preoperative chemotherapy,and most patients have good quality of life,however,long period follow up is needed