Gerzić Z, Pesko P, Knezević J, Simić A, Stojakov D, Sabljak P, Radovanović N
Institut za digestivne bolesti KCS, Beograd I hirurska klinika Medicinskog fakulteta Centar za ezofagogastricnu hirurgiju Srbije.
Acta Chir Iugosl. 2001;48(1):13-23.
In an retrospective analysis of documentation and printed paper in period between 1964-1998 168 patients required reoperations in benign esophageal lesions. Failed initial interventions were found in 66 (39.28%) pts. operated in our clinic and 102 (60.71%) pts operated in other institutions in our country. The corrective procedure was possible in 140 (83.33%) pts and impossible in 11 (6.54%). Post-operative mortality was 7.73% so the definitive failed corrections were 14.27%. The main cause of failure were: Defective operative technique, wrong preoperative diagnosis and indications including inadequate initial procedure. Among the 168 pts undergoing corrective surgery, more than a half of pts had obstructive lesions requiring resections and reconstructions. Dilatation of the stricture was possible in 16% followed by total diversion, particularly in previous gastric surgery. Malignant degeneration of benign lesions were found in 10.71%. Only 4 pts (2.3%) refused suggested operations. Satisfactory long-term results especially in patients undergoing esophageal corrective reconstructions for benign diseases were good to excellent in regular yearly postoperative routine control examination.
在一项对1964年至1998年间的文献和印刷资料进行的回顾性分析中，168例良性食管病变患者需要再次手术。在我院接受手术的66例（39.28%）患者和在我国其他机构接受手术的102例（60.71%）患者中发现了初次干预失败的情况。140例（83.33%）患者可以进行纠正手术，11例（6.54%）患者无法进行。术后死亡率为7.73%，因此最终失败的纠正率为14.27%。失败的主要原因包括：手术技术有缺陷、术前诊断和适应证错误，包括初始手术不充分。在接受纠正手术的168例患者中，超过一半的患者有梗阻性病变，需要进行切除和重建。16%的患者可以进行狭窄扩张，其次是全转流，特别是在既往有胃手术史的患者中。良性病变的恶性变发生率为10.71%。只有4例（2.3%）患者拒绝了建议的手术。在每年定期的术后常规检查中，尤其是在接受良性疾病食管纠正重建手术的患者中，长期效果令人满意，从良好到优秀。
