Roald H E, Harbitz T B
Kirurgisk avdeling, Aker sykehus, Oslo.
Tidsskr Nor Laegeforen. 1991 Aug 30;111(20):2549-52.
Between 1979 and 1989, 38 patients were treated for cancer of the oesophagus. 25% (21/38) of the patients underwent resection of the oesophagus with either curative or palliative measures. 12 patients were treated radically, of whom two (17%) have lived free of recurrence for more than five years. Radical thoracoabdominal oesophageal resection is recommended as long as the operative mortality is low. Careful preoperative evaluation is necessary to select patients who should be treated by palliative procedures, such as oesophageal resection, by-pass procedures, laser coagulation and/or local irradiation.
1979年至1989年间,38例食管癌患者接受了治疗。25%(21/38)的患者采用根治性或姑息性措施进行了食管切除术。12例患者接受了根治性治疗,其中2例(17%)已无复发存活超过5年。只要手术死亡率低,推荐行根治性胸腹段食管切除术。术前需仔细评估,以选择适合采用姑息性手术治疗的患者,如食管切除术、旁路手术、激光凝固和/或局部照射。