| 颈段食管癌的外科治疗 |
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| 引用本文： | 曾多,蒋俭,李建业,黄志刚,王琪,倪鑫,房居高,于涛,张云峰.颈段食管癌的外科治疗[J].中国耳鼻咽喉头颈外科,2009(9):476-478. |
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| 作者姓名： | 曾多 蒋俭 李建业 黄志刚 王琪 倪鑫 房居高 于涛 张云峰 |
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| 作者单位： | 首都医科大学附属北京同仁医院胸外科;首都医科大学附属北京同仁医院耳鼻咽喉头颈外科耳鼻咽喉头颈科学教育部重点实验室(首都医科大学); |
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| 摘 要： | 目的探讨颈段食管癌的外科治疗方法和结果。方法回顾性分析了手术治疗颈段食管癌患者46例的临床资料,男31例,女15例;年龄41～82岁,平均67.5岁。喉气管瓣代喉咽及颈段食管手术5例;游离肌皮瓣代颈段食管术4例;带血管蒂游离空肠代食管术2例;非开胸食管内翻拔脱术35例：喉及喉咽全部切除食管内翻拔脱胃代食管21例,结肠代食管1例;保留喉的喉咽部分切除食管内翻拔脱胃代食管9例,结肠代食管4例。结果无手术死亡。术后早期出现并发症：颈部切口感染2例,吻合口瘘3例,吻合口狭窄5例,喉返神经损伤2例;术后长期食管反流19例。5年生存率28.7%。结论对颈段食管癌的外科手术治疗,需根据肿瘤所在的部位、侵及的范围及淋巴结转移的情况等选取具体的手术术式。
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| 关 键 词： | 食管肿瘤 颈 食管切除术 修复外科手术 |
Surgical management of the cervical esophageal carcinoma |
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| ZENG Duo,JIANG Jian,LI Jianye,HUANG Zhigang,WANG Qi,NI Xin,FANG Jugao,YU Tao,ZHANG Yunfeng ,Ministry of Education,Beijing Tongren Hospital,Capital Medical University,Beijing,China.Surgical management of the cervical esophageal carcinoma[J].Chinese Archives of Otolaryngology-Head and Neck Surgery,2009(9):476-478. |
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| Authors: | ZENG Duo JIANG Jian LI Jianye HUANG Zhigang WANG Qi NI Xin FANG Jugao YU Tao ZHANG Yunfeng Ministry of Education Beijing Tongren Hospital Capital Medical University Beijing China |
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| Institution: | ZENG Duo~1,JIANG Jian~1,LI Jianye~1,HUANG Zhigang~1,WANG Qi~1,NI Xin~1,FANG Jugao~2,YU Tao~1,ZHANG Yunfeng~1 (1 Department of Thoracic Surgery,2 Department of Otolaryngology Head and Neck Surgery,Key Laboratory of Otolaryngology Head and Neck Surgery (Capital Medical University),Ministry of Education,Beijing Tongren Hospital,Capital Medical University,Beijing,100730,China) |
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| Abstract: | OBJECTIVE To investigate the surgical management and its result of the cervical esophageal cancer.METHODS Forty six patients with cervical esophageal carcinoma who received surgical treatment in our hospital were included in this retrospective study.The removed hypopharynx and cervical esophagus were repaired with laryngotracheal flap in 5 cases,free myocutaneous flap in 4 patients and free jejunum in 2 patients.The inversion stripping esophagectomy without thoracotomy were performed in 35 patients.RESULTS ... |
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| Keywords: | Esophageal Neoplasms Neck Esophagectomy Reconstructive Surgical Procedures |
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