13248例食管癌和贲门癌外科治疗

目的]总结食管癌和贲门癌外科治疗经验。方法]回顾性分析安阳市肿瘤医院胸外科1976年～2001年13248例食管癌和贲门癌手术治疗资料。结果]食管癌和贲门癌手术切除率分别为94．8％和93．1％，总切除率94．3％。食管癌和贲门癌手术死亡率分别为1．7％和1．0％，总手术死亡率1．5％、食管癌术后5年、10年生存率分别为31．6％和10.3％，贲门癌术后5年、10年生存率分别为18．5％和5．0％，总5年、10年生存率分别为26．9％和8．4％。结沦](1)食管癌和贲门癌的手术适应证逐渐扩大，手术切除率不断提高，术后死亡率明显降低。(2)对食管癌应扩大切除范围，对胸上、中段食管癌应采用右侧剖胸切除，以提高长期生存率。（3）提高食管癌和贲门癌的早期诊断率是食管癌临床工作的重点之一。

Surgical Treatment for Esophageal and Cardiac Carcinoma in 13248 Cases

To summarize the experience in the surgical treatment for the esophageal and cardiac carcino-ma.The date of surgical treatment of the esophageal and gastric cardiac carcinoma in13248cases in Anyang Tumor Hospital from1976to2001were analysed.The resectability of esophageal and cardiac carci-noma were94.8%and93.1%respectively,and overall resectability was94.3%.The operative mortality of esophageal and cardiac carcinoma were1.7%and1.0%respectively,and overall operative mortality was1.5%.The5-and10-year survival rates in esophageal carcinoma postoperation were31.6%and10.3%respectively.The5-and10-year survival rates in cardiac carcinoma postoperation were18.5%and5.0%respectively.Overall5-and10-year survival rates were26.9%and8.4%respectively.Conclusion](1)The indication of surgical treatment was extended with increased re-sectability and decreased mortality.(2)Extended operation could increase long term survival.(3)Early diagnose was the key for clinic in high incidence area.