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[一期食管成形术的食管切除术]

[Esophageal extirpation with one-stage esophagoplasty].

作者信息

Chernousov A F, Domrachev S A, Cherniavskií A A

出版信息

Khirurgiia (Mosk). 1991 May(5):3-9.

PMID:2072642
Abstract

In the period from 1980 to June, 1989 the authors conducted operations on 128 patients for extirpation of the esophagus with one-stage esophagoplasty by means of an isoperistaltic tube formed from the greater curvature of the stomach. Fifty-four of these patients had benign esophageal strictures, 74 had malignant lesions of the esophagus. The authors claim this operation to be the operation of choice in carcinoma of the lower third of the esophagus and in carcinoma of the cardia extending to the thoracic esophagus. It may be carried out in carcinoma of the thoracic esophagus at any level, in benign strictures of the thoracic esophagus, and in stage IV cardiospasm in patients in whom operations had been performed earlier on the cardia. The abdominocervical approach can be supplemented by right thoracotomy in carcinoma of the midthoracic part of the esophagus. Four patients (3%) died after the operation. The authors recommend wider use of the operation.

摘要

1980年至1989年6月期间,作者对128例患者进行了手术,采用由胃大弯形成的等蠕动管进行一期食管成形术切除食管。其中54例患者患有良性食管狭窄,74例患有食管恶性病变。作者声称该手术是食管下三分之一癌和延伸至胸段食管的贲门癌的首选手术。它可用于任何水平的胸段食管癌、胸段食管良性狭窄以及早期对贲门进行过手术的IV期贲门痉挛患者。对于食管中段癌,腹部-颈部入路可辅以右胸切开术。4例患者(3%)术后死亡。作者建议更广泛地应用该手术。

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