Mohsen H
Shahid Beheshty University of Med. Sciences.
Acta Chir Hung. 1992;33(3-4):237-45.
The surgical procedures for carcinoma of oesophagus with and without thoracotomy are compared. Since March 1987: 65 patients who were resectable (78.4%) underwent surgical procedures during a 40 months period. The ratio of male to female was 3 to 2, mostly seen in 6th decade (45%) of life. Tumor site: 6% upper 1/3, 46% middle and 48% lower third. The surgical resection procedures were: 53.8% McKeown and Akiyama et al. 33.9% transhiatal (Orringer) the rest Ivor-Lewis and endoesophageal pullthrough E.E.P.T. /24, 25/. No mortality occurred during operations, but fistula was seen in 20% of cases and the most frequent morbidity was pulmonary complications, which was seen 3 times more in procedures including thoracotomy. Increasing the mortality rate also comparing to just one death (4.6%) in transhiatal method. In 24-62 months follow-up period including 3/4 of the cases, the survival was 33.3% for transhiatal Esophagectomy = THE and 34.4% for other procedures (Transthoracic esophagectomy = TTE).
对有开胸和无开胸的食管癌手术方法进行了比较。自1987年3月以来：在40个月的时间里，65例可切除患者（78.4%）接受了手术。男女比例为3比2，多见于60岁左右（45%）。肿瘤部位：上段1/3占6%，中段占46%，下段占48%。手术切除方法为：53.8%采用麦克尤恩（McKeown）和秋山等人的方法，33.9%采用经裂孔（奥林格，Orringer）方法，其余采用艾弗-刘易斯（Ivor-Lewis）和食管内翻拔脱术（E.E.P.T.）/24, 25/。手术期间无死亡病例，但20%的病例出现瘘管，最常见的并发症是肺部并发症，在包括开胸的手术中出现的几率是其他手术的3倍。与经裂孔手术仅1例死亡（4.6%）相比，死亡率也有所增加。在包括3/4病例的24至62个月随访期内，经裂孔食管切除术（THE）的生存率为33.3%，其他手术（经胸食管切除术，TTE）的生存率为34.4%。
