| 非开胸食管内翻拔脱术治疗下咽癌、食管癌及贲门癌 |
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| 引用本文： | 杨俊杰,赵雍凡,胡贤国,伍伫.非开胸食管内翻拔脱术治疗下咽癌、食管癌及贲门癌[J].四川大学学报(医学版),1988(2). |
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| 作者姓名： | 杨俊杰 赵雍凡 胡贤国 伍伫 |
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| 作者单位： | 华西医大外科学教研室
(杨俊杰，赵雍凡，胡贤国)，华西医大外科学教研室(伍伫) |
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| 摘 要： | 作者报道对30例不宜开胸手术的下咽癌、食管癌及贲门癌患者,采用非开胸食管内翻拔脱术进行手术切除。其肿瘤位于下咽者4例,食管颈段11例,上胸段8例,中、下段及贲门7例;病变最短1.5cm,最长4.5cm。术后出现颈部吻合口瘘 5例,喉返神经损伤4例。除术后 1例死亡外,均痊愈出院。实践表明:非开胸食管内翻拔脱切除术方法简便、效果较好,术后并发症少,尤适用于高位食管肿瘤及心肺功能不能耐受开胸手术的食管癌患者。作者并对手术技术及并发症进行了探讨。
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| 关 键 词： | 食管癌 食管内翻拔脱 |
INVERSION-STRIPPING ESOPHAGECTOMY FOR TREATMENT OF HYPOPHARYNGEAL,ESOPHAGEAL AND CARDIAL CARCINOMAS |
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| Yang Junjie,Zhao Yongfan,Hu Xianguo,Wu Zhu.INVERSION-STRIPPING ESOPHAGECTOMY FOR TREATMENT OF HYPOPHARYNGEAL,ESOPHAGEAL AND CARDIAL CARCINOMAS[J].Journal of West China University of Medical Sciences,1988(2). |
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| Authors: | Yang Junjie Zhao Yongfan Hu Xianguo Wu Zhu |
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| Institution: | Yang Junjie;Zhao Yongfan;Hu Xianguo;Wu Zhu Department of Surgery |
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| Abstract: | Thirty cases of inversion-strippingesophagectomy (ISE) were reported. Thelesions in 23 of the 30 patients were inupper segment (hypopharyngeal 4, cervicalesophagus 11, upper thoracic segment 8).Only one case died of subphrenic abscesssix weeks after operation. The fistula ofcervical anastomosis occurred in 5 cases,but all healed in several weeks afterdrainage and dressing. Recurrent laryngealnerve paralysis occurred in 4 patients, 3were temporary and recovered spontaneously.Comparing with ordinary thoracotomy,theISE is rather simple and has less compli-cations. So it is good for the early casesof esophageal carcinoma, particularly le-sions in the neck with poor pulmonary orcardiac function. |
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| Keywords: | Esophageal carcinoma Inversion-stripping esophag?ctomy |
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