食管癌术后胸内吻合口癌的再手术

目的 总结食管癌术后吻合口癌的再手术经验。方法 对11例吻合口癌病人进行再手术，其中行结肠食管颈部吻合5例、食管胃颈部吻合3例、结肠食管胸顶吻合1例、食管胃胸顶吻合1例，探查1例。结果 手术死亡1例，术后的1、3、和5年生存率分别为77.8%(7/9例）、44.4%(4/9例）和22.2%(2/9例）。结论 对部分有适应证的病人，再手术是治疗 食管癌术后吻合口癌的有效方法，早期发现和及时治疗能提高疗效。

Surgical treatment of anastomotic recurrence following resection of esophageal carcinoma

Objective: To evaluate the experience of surgical treatment of anastomotic recurrence following resection of esophageal carcinoma. Methods: Reoperation was performed in 11 patients with anastomotic recurrence. The surgical procedure performed included cervical esophagocolostomy in 5, cervical esophagogastrostomy in 3, esophagocolostomy and esophagogastrostomy at the top of chest in 2, respectively, and thoracotomy in 1. Results: There was one operative death with mortality rate of 9 1%. The cause of death was respiratory failure. 1 , 3 and 5 year survival rates were 77 8% (7/9), 44 4% (4/9) and 22 2% (2/9), respectively. Conclusion: Reoperation is still effective for some patients with anastomotic recurrence. Early diagnosis and prompt surgical treatment can improve the outcome.