| 残胃代食管治疗食管中下段及远端胃同时性重复癌的初步报告 |
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| 引用本文： | 何光明,王启斌,吕必宏,朱卫东,陈建忠,何建明,杨军. 残胃代食管治疗食管中下段及远端胃同时性重复癌的初步报告[J]. 实用临床医药杂志, 2011, 15(23): 54-56 |
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| 作者姓名： | 何光明 王启斌 吕必宏 朱卫东 陈建忠 何建明 杨军 |
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| 作者单位： | 扬州大学附属泰兴市人民医院胸心外科,江苏泰兴,225400 |
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| 摘 要： | 目的为了简化操作和减少围术期并发症,该研究利用残胃重建消化道,探讨食管中段、远端胃同时性重复癌的外科治疗方法及效果。方法回顾性分析2003年1月~2011年5月手术治疗的6例食管中下段、远端胃同时性重复癌的临床资料。结果全组均同期行远端胃及食管次全切除术,其中保留胃短血管、残胃翻转倒置逆行与食管及空肠吻合重建消化道(以下简称残胃倒置重建消化道术)3例,保留胃网膜右血管弓、残胃顺行与食管及空肠吻合重建消化道(以下简称顺行残胃重建消化道术)3例。全组无围术期死亡。术后肋软骨炎1例,扩创治愈,腹腔感染1例,经保守治疗后痊愈。6例均获得随访,2例生存超过4年,1、3年生存率分别100%、50%。结论同期远端胃及食管次全切除、保留胃短血管残胃翻转倒置或保留胃网膜右血管弓、顺行残胃食管吻合重建消化道是食管、胃重复癌安全有效的外科治疗方法。只要指征选择得当,手术会给患者带来生存的收益。
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| 关 键 词： | 食管肿瘤 胃肿瘤 肿瘤 重复癌 |
The report of using leftover gastria to replace esophageal to treat synchronous intermediate esophageal cancer associated with distal gastric tumor |
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| HE Guang-ming , WANG Qi-bin , LU Bi-hong , ZHU Wei-dong , CHEN Jian-zhong , HE Jian-ming , YANG Jun. The report of using leftover gastria to replace esophageal to treat synchronous intermediate esophageal cancer associated with distal gastric tumor[J]. Journal of Clinical Medicine in Practice, 2011, 15(23): 54-56 |
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| Authors: | HE Guang-ming WANG Qi-bin LU Bi-hong ZHU Wei-dong CHEN Jian-zhong HE Jian-ming YANG Jun |
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| Affiliation: | ,XI Xiao-xiang,JIANG Wei,CHEN Rui,XU Xiang(Taixing People′s Hospital Affiliated to Yangzhou University,Taixing,Jiangsu, 225400) |
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| Abstract: | Objective To simplify the operative performances and reduce the post-operative complications,this study is using leftover gastria to reconstruct digestive canal to investigate the surgical therapy methods and results of synchronous intermediate esophageal cancer associated with distal gastric tumor.Methods Six patients that suffered from synchronous esophageal cancer associated with distal gastric tumor underwent surgical treatment from January 2003 to May 2011 were analyzed retrospectively.Results All pati... |
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| Keywords: | esophageal neoplasms stomach neoplasms neoplasms multiple primary surgical procedures operative |
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