| 食管次全切除,食管-胃左颈部吻合术治疗胸段食管癌 |
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| 引用本文： | 李德闽,常春林,景华,胡小南,周志有,董国华.食管次全切除,食管-胃左颈部吻合术治疗胸段食管癌[J].医学研究生学报,1998(3). |
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| 作者姓名： | 李德闽 常春林 景华 胡小南 周志有 董国华 |
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| 作者单位： | 南京军区南京总医院 |
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| 摘 要： | 目的：报告左胸后外侧切口行食管次全切除，食管－胃左颈部吻合手术治疗胸段食管癌的临床经验。方法：全组１１２４例胸段食管癌患者，全部经左胸后外侧切口行食管次全切除，食管－胃左颈部吻合。结果：全组手术治愈１１１８例，死亡６例（０．５３％），吻合口瘘３８例（３．３８％），瘘死亡１３．１６％（５／３８）。乳糜胸７例均获治愈。７４８例随访２年、３年、５年，生存率分别为８２．２％、５２．８％和２７．８％。结论：食管次全切除，食管－胃左颈部吻合治疗胸段食管癌是一种安全的手术方法，具有肿瘤切除彻底、并发症少的优点
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| 关 键 词： | 食管癌 手术 |
Esophagectomy with total stomach replacement and cervical anostomosis for treatment of esophageal carcinoma |
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| Li Demin,Chang Chunlin,Jing Hua et al.Esophagectomy with total stomach replacement and cervical anostomosis for treatment of esophageal carcinoma[J].Bulletin of Medical Postgraduate,1998(3). |
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| Authors: | Li Demin Chang Chunlin Jing Hua |
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| Institution: | Li Demin,Chang Chunlin,Jing Hua et al Department of Thoracic and Cardiovascular Surgery,Jinling Hospital |
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| Abstract: | Objectives:To review experience of esophagectomy with total stomach replacement and cervical anostomosis for treatment of esophageal carcinoma. Methods:In total of 1124 cases,794 male and 375 female were included and the average age was 58.5.All the cases underwent esophagectomy with total stomach replacement by left postlateral thoracotomy and cervical anostomosis. Results:Mortality was 0.53%(6/1124),anostomosis leak was in 38 cases(3.38%) and mortality related to the leak was 13.16%(5/38). Seven cases with chylethorax were cured,4 with surgical management and 3 with conservative therapy.Follow up was carried out in 748 cases,and survival rate for 2,3 and 5 years was 82.2%, 52.8 and 31.3% respectively. Conclusions:Esophagectomy with total stomach replacement and cervical anostomosis is a safe approach for treatment of thoracic esophageal carcinoma,it may have advantages of radical resection and less complications. |
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| Keywords: | Esophageal carcinoma Surgery |
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