Liu J F, Wang Q Z, Ping Y M, Zhang Y D
Department of Thoracic Surgery, Fourth Hospital, Hebei Medical University, 12 Jiankang Road, Shijiazhuang 050011, China.
World J Surg. 2008 Mar;32(3):395-400. doi: 10.1007/s00268-007-9349-z.
The incidence of esophageal cancer in Hebei Province in China is the highest in the world. Our experience in the Department of Thoracic Surgery, Fourth Hospital, Hebei Medical University with the management of postoperative complications following esophagectomy was determined. From September 1952 to December 2005, a total of 20,796 patients underwent an intended esophagectomy for cancer in our department. Data for the outcome of these procedures was sourced from reported articles in the Chinese-language literature. The data were collated to determine the incidence and outcomes of postoperative complications. The incidence of major complications declined over the period of study. The likelihood of anastomotic leakage decreased from 5.0% to 2.3%, and pulmonary complications declined from 3.2% to 1.6%. The surgical mortality rate decreased from 17.1% to 0.6%. The incidence of postoperative complications and deaths following esophagectomy for cancer in our unit has fallen steadily over the past five decades. Improvements in preoperative preparation and postoperative management have contributed to this decrease.
中国河北省的食管癌发病率位居世界之首。我们确定了河北医科大学第四医院胸外科在食管癌切除术后并发症管理方面的经验。1952年9月至2005年12月，共有20796例患者在我科接受了食管癌切除手术。这些手术结果的数据来源于中文文献报道的文章。对数据进行整理以确定术后并发症的发生率和结果。在研究期间，主要并发症的发生率有所下降。吻合口漏的发生率从5.0%降至2.3%，肺部并发症从3.2%降至1.6%。手术死亡率从17.1%降至0.6%。在过去的五十年里，我科食管癌切除术后的并发症发生率和死亡率稳步下降。术前准备和术后管理的改善促成了这一下降。
