食管癌行结肠代食管术和胃代食管颈部吻合术的围手术期比较

本文对３３例食管癌患者行结肠代食管术及２６例行胃代食管颈部吻合术的围手术期情况，与围手术期相关的几个主要因素进行了比较分析。结果：结肠代食管术较胃代食管颈部吻合术．术前准备工作量大；术中肿瘤易游离切除，切除彻底；术后食管残端癌细胞阳性率低；但手术创伤大；并发症多，尤吻合口瘘发生率高；住院时间长。提出：年龄较小，体质好，肿瘤长者宜采用结肠代食管术；反之则采用胃代食管颈部吻合术。关键词：

Camparison between Colon Interposition and Cervicai Esophagogastrostomy in Perioperative Status of Esophageal Cancer Resection (A Report of 59 Cases)

The porioperative status of 33 esophageal carcinoma patients underwent esophageal reconstruction with colon Interposition and 26 cases with cervical esophaggogastrostomy after resection is described. Comparison of perioperative factors was made between the two groups. The esophageal reconstruction with colon interposition required more preoperative preparation, the tumors were easier to be dissected and resected, and cancer cell positive rate of resected edge was tower on pathologicai examination; but it cause more surgical trauma and porioperative complications, particularly anastomotrc laekage, and longer period of hospitalization. Conclusion:Esophageal reconstuction with colon is suitable for younger adults with strong constitutions, or with a longer tumors sige, otherwise, the cervical esophagogastrostomy should be performed.