食管拔脱结肠重建食管18例报告

 目的　为探讨食管拔脱结肠重建食管治疗颈、胸段食管癌。方法　经颈腹经路食管内翻拔脱切除结肠重建食管治疗颈胸上段食管癌18例，获得满意疗效，全组无1例手术死亡者；手术同时对食管拔脱指征、操作要点及结肠重建食管的可行性进行了讨论。结果　18例患者中数随访8年，存活期超过1年者13例，超过3年者8例，超过5年者5例，5年生存率为27.8%。结论　食管拔脱结肠重建食管治疗颈、胸上段食管癌损伤小，并发症少，切除率高，延长了患者的生存期。

Report of 18 Patients with Esophageal Carcinoma were Treated with Reconstruction Operation of Detaching Esophague from Cardia and Colon Replace Esophague

Objective TO study therapy of cervical and thoracic upper esophageal carcinoma using colon to replace esophagus after detaching esophague from cardia.Methods Eighteen patients with cervical and thoracic upper esophageal carcinoma were treated by colon replace ment of esophagus after detaching esophague from cardia.The indication,operating importantpoint and practicability of colon usedto replace esophague during operation were discussed.Results Mean follow up term of all 18 patients was 8 years.The survival rate of more than l year was 72 2%(13/18),more than 3 year swrvival rate was 44 4%(8/18),and more than 5 year swrvival rate was 27 8%(5/18).Conclusion To detach esophague from cardia and treat cervical and thoracic upper esophague with colon replacing esophague can reduce injury and complication,improve rate of resection and prolonged survival of patients.