Giudicelli R, Fuentes P, Thomas P, Dupin B, Fulachier V, Barthelemy A, Magnan P E, Lapicque J F, Sebai O, Reboud E
Service de Chirurgie Thoracique, Hôpital Sainte-Marguerite, Marseille.
Ann Chir. 1990;44(6):475-9.
Between March 1982 and December 1987, 112 patients with oesophageal cancer were treated by gastroplasty following oesophagectomy to restore gastrointestinal continuity. This technique was used in all oesophageal cancers regardless of their site, with the exception of paryngo-oesophageal and oesophago-cardio-fundal cancers. The overall mortality of 12.5% fell to below 6% during the last two years. The postoperative course was straightforward in 54.5% of cases. The most frequent complications were respiratory tract complications (19 cases of ARDS out of 112 patients, i.e. 17%) and fistulae at the oesophago-gastric anastomosis (9 cases out of 112, i.e. 8%). The secondary complications were dominated by anastomotic stenoses (19/98, i.e. 19.3%).
1982年3月至1987年12月期间，112例食管癌患者在食管切除术后接受了胃成形术以恢复胃肠道连续性。除下咽-食管和食管-贲门-胃底癌外，该技术用于所有部位的食管癌。总体死亡率为12.5%，在最后两年降至6%以下。54.5%的病例术后病程顺利。最常见的并发症是呼吸道并发症（112例患者中有19例发生急性呼吸窘迫综合征，即17%）和食管-胃吻合口瘘（112例中有9例，即8%）。次要并发症主要是吻合口狭窄（98例中有19例，即19.3%）。
