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新辅助化疗提高食管癌手术R0切除率的研究
引用本文:郑庆锋,冯源,吴楠,姚震旦,刘毅强,王洋,陈晋峰,张力建,杨跃.新辅助化疗提高食管癌手术R0切除率的研究[J].肿瘤研究与临床,2009,22(10):293-296,299.
作者姓名:郑庆锋  冯源  吴楠  姚震旦  刘毅强  王洋  陈晋峰  张力建  杨跃
作者单位:北京肿瘤医院暨北京市肿瘤防治研究所,恶性肿瘤发病机制及转化研究教育部重点实验室胸外二科,北京大学临床肿瘤学院,100412;北京肿瘤医院暨北京市肿瘤防治研究所,恶性肿瘤发病机制及转化研究教育部重点实验室病理科,北京大学临床肿瘤学院,100412;
摘    要:目的 探讨新辅助化疗提高食管癌手术R0切除率的可能性.方法 30例食管癌患者,其中鳞癌18例,腺癌10例,小细胞癌2例.术前新辅助化疗采用以紫杉醇联合铂类为主的方案,化疗后予以手术治疗.结果 化疗有效率(CR+PR)56.7%(17/30),R0切除率100%,吻合口瘘发生率3.3% (1/30),无死亡病例.结论 新辅助化疗对提高食管癌手术R0切除率具有重要意义,对术后长期生存的影响有待进一步随访观察.

关 键 词:食管肿瘤    新辅助化疗    R0切除率    

Effect of neoadjuvant chemotherapy on R0 resection rate of esophageal carcinoma
ZHENG Qing-feng,FENG Yuan,WU Nan,YAO Zhen-dan,LIU Yi-qiang,WANG Yang,CHEN Jin-feng,ZHANG Li-jian,YANG Yue.Effect of neoadjuvant chemotherapy on R0 resection rate of esophageal carcinoma[J].Cancer Research and Clinic,2009,22(10):293-296,299.
Authors:ZHENG Qing-feng  FENG Yuan  WU Nan  YAO Zhen-dan  LIU Yi-qiang  WANG Yang  CHEN Jin-feng  ZHANG Li-jian  YANG Yue
Abstract:Objective To investigate the possibility of increasing R0 resection rate in esophageal carcinoma after neoadjuvant chemotherapy. Methods 30 patients underwent operation after neoadjuvant chemotherapy mainly by paclitaxel combined with cis-platinum, including 18 squamous carcinoma cases. 10 adenocarcinoma cases and 2 small cell carcinoma cases.Results In these 30 patients,the overall effective rate of neoadjuvant chemotherapy is 56.7%(17/30)(CR+PR),R0 resection rate is 100%,and the incidence rate of anastomotic leakage is 3.3%(1/30),without perioperative death.Conclusion The neoadjuvant chemotherapv is significant in improving the R0 resection rate in esophageal carcinoma,and the impact of long-term survival after surgery needs further follow-up.
Keywords:Esophageal neoplasmsNeoadjuvant chemotherapyR0 resection rate
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