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[良性食管狭窄——蒂米什瓦拉第二外科诊所结肠代食管术的治疗结果]

[Benign esophageal strictures--outcomes of coloesophagoplasty in Surgical Clinic II Timişoara].

作者信息

Stoica A L, Bordos D, Miculit F, Pantea S, Vîşcu S, Oniţa M

机构信息

Secţia Chirurgie, Spitalul CF Simeria.

出版信息

Chirurgia (Bucur). 2004 Nov-Dec;99(6):507-13.

PMID:15739668
Abstract

Esophagoplasty is obviously a proper choice of treatment; postoperative outcomes should be very good because of benign type of lesions, but morbidity-mortality are high due to the complexity of the intervention. Our purpose is to emphasize the utility of coloesophagoplasty like a very feasible surgical option, based to our short and long term outcomes. This paper relies on the retrospective analysis of all cases admitted to II-nd Surgical Clinic Timisoara in a 20 years period (1983-2002), having coloesophagoplasty for benign esophageal stenosis. There were performed 45 such interventions (16 men, 29 women); the mean age was 35.7 years (15-68 years). The pathology included postcaustic lesions (42 cases), peptic lesions (2 cases) and esophageal leiomyoma (1 case). Postoperative morbidity occurred in 22.6% of patients. The graft functionality was good and very good in 86.6% of patients at discharge. Postoperative mortality was 6.6%.

摘要

食管成形术显然是一种合适的治疗选择;由于病变为良性,术后效果应该非常好,但由于手术干预的复杂性,发病率和死亡率较高。我们的目的是基于我们的短期和长期结果,强调结肠代食管成形术作为一种非常可行的手术选择的实用性。本文基于对蒂米什瓦拉第二外科诊所20年间(1983 - 2002年)因良性食管狭窄接受结肠代食管成形术的所有病例的回顾性分析。共进行了45例此类手术(男性16例,女性29例);平均年龄为35.7岁(15 - 68岁)。病理类型包括腐蚀性病变后(42例)、消化性病变(2例)和食管平滑肌瘤(1例)。22.6%的患者发生术后并发症。出院时86.6%的患者移植功能良好或非常好。术后死亡率为6.6%。

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