Huamán M, Santibañez G, Ayala L, Jáuregui F, Madalengoitia G
Departmento de Cirugía, y Hospital Nacional Edgardo Rebagliati Martins, IPSS, Universidad Nacional Mayor de San Marcos, Lima, Perú.
Rev Gastroenterol Peru. 1990;10(1):14-20.
Between 1987 and 1990 twenty report cases who suffered carcinoma of the esophagus underwent transmediastinal esophagectomy without thoracotomy at the Surgery Service of the Edgardo Rehabilitation Hospital. Of the report cases 90% were at stage III, 5% of stage II and 5% at stage I of the TNM Classification. Post operative complications were cervical leaks, transitory dysphonia and respiratory illness, and were solved by conservative management. Only one case died with sepsis and mediastinitis, this represents an inpatient mortality of 5%. There were no hemorrhagic complications, nor chylothorax neither visceral necrosis during surgical time. Transmediastinal esophagectomy offers a good choice for the management of surgical cases, it has low mortality, morbidity and similar survival time than other procedures.
1987年至1990年间，在埃德加多康复医院外科，20例食管癌患者接受了经纵隔食管切除术，未行开胸手术。在报告的病例中，90%为TNM分类的III期，5%为II期，5%为I期。术后并发症为颈部渗漏、暂时性发音困难和呼吸道疾病，通过保守治疗得以解决。仅1例死于败血症和纵隔炎，住院死亡率为5%。手术过程中无出血并发症、乳糜胸及内脏坏死。经纵隔食管切除术为手术病例的治疗提供了一个良好选择，其死亡率、发病率低，生存时间与其他手术相似。
