上段食管癌的术式评价

报告８６例上段食管癌的治疗经验，比较了６种不同术式的优缺点。提出上段食管癌患者，当肿瘤上缘距食管入口大于５ｃｍ时应行部分食管发除结肠代食管术；小于５ｃｍ时应行全食管喉切除、气管永外外置、胃与口底吻合术为宜。认为勉强的保喉手术以及不恰当的食管替代品会导致术后发生难以治疗的并发症。

Evaluations of operative procedures of superior segmental esephageal carcinoma

The experience of treatment for 86 patients with superior segmental esophageal carcinoma was reported,the advantages and shortcomings of 6 different operative procedures were compared. it was advanced that when the distance from the upper edge of the tumor located in the superior segmental esophagus to the esophageal entrance is more than 5 cm,a partial esophagectomy and colonic interposition for esophageal substitution may be performed. When this. distance is less than 5 cm,a total esophagectomy and laryngectomy with tracheostomy and gastropharyngostomy should be considered. The improper operations to retain the laryngx and an unsuitable esophageal substitute will cause difficult cured compilations.