改良Nissen胃底折叠术联合Ivor Lewis食管胃切除术。

Modified Nissen fundoplication combined with Ivor Lewis esophagogastrectomy.

作者信息

Russell Maria C, Thourani Vinod H, Miller Joseph I

机构信息

Subsection of General Thoracic Surgery, Division of Cardiothoracic Surgery, Emory University School of Medicine, Atlanta, Georgia, USA.

出版信息

Ann Thorac Surg. 2007 Nov;84(5):1780-2. doi: 10.1016/j.athoracsur.2007.08.019.

DOI:10.1016/j.athoracsur.2007.08.019

PMID:17954120

Abstract

Esophageal carcinoma is a difficult neoplasm to treat, with a reported overall 5-year survival of about 15%. The role of chemotherapy and radiation has yet to be defined, making surgical resection the standard treatment. Postoperative esophageal leak remains a significant contributor to morbidity and mortality, especially after an intrathoracic anastomosis. We propose a modification of the Ivor Lewis esophagogastrectomy that has resulted in two anastomotic leaks in a series of more than 500 patients.

摘要

食管癌是一种难以治疗的肿瘤，据报道其总体5年生存率约为15%。化疗和放疗的作用尚未明确，手术切除仍是标准治疗方法。术后食管瘘仍然是导致发病率和死亡率的重要因素，尤其是在胸内吻合术后。我们提出了一种对艾弗·刘易斯食管胃切除术的改良方法，在一系列500多名患者中仅出现了两例吻合口漏。