Belyaev Orlin, Muller Christophe A, Uhl Waldemar
Department of General Surgery, St Josef Hospital, Ruhr University Bochum, Bochum, Germany.
Langenbecks Arch Surg. 2009 Mar;394(2):383-5. doi: 10.1007/s00423-008-0397-0. Epub 2008 Aug 15.
Surgical procedures for esophageal cancer and chronic pancreatitis are demanding and still characterized by high morbidity and mortality. Cases of one-stage combined operations on the pancreas and esophagus with a long-term follow-up are rarely reported.
We present the case of a 54-year-old woman with a Barrett's carcinoma and an 8-year history of severe chronic pancreatitis complicated with multiple episodes of cholangitis and resistant to conservative treatment.
After a successful one-stage operation consisting of esophagogastrectomy and pancreaticoduodenectomy, a 30-month disease-free follow-up with a good quality of life has been observed.
Complicated surgical procedures such as one-stage multiple organ resections may offer, in selected cases, satisfactory long-term results, provided that patients are treated at a high-volume center by a multidisciplinary team.
食管癌和慢性胰腺炎的外科手术要求高，且仍具有高发病率和死亡率的特点。关于胰腺和食管一期联合手术并长期随访的病例报道很少。
我们报告了一名54岁女性的病例，她患有巴雷特食管癌，并有8年严重慢性胰腺炎病史，并发多次胆管炎，且对保守治疗耐药。
在成功进行了包括食管胃切除术和胰十二指肠切除术的一期手术之后，观察到了30个月的无病随访期，患者生活质量良好。
对于某些特定病例，诸如一期多器官切除术这样复杂的外科手术，若患者在大型医疗中心由多学科团队进行治疗，可能会带来令人满意的长期效果。
