Division of Thoracic Surgery, Hackensack University Medical Center, 30 Prospect Avenue, Hackensack, NJ, USA.
Thorac Surg Clin. 2013 Nov;23(4):559-67. doi: 10.1016/j.thorsurg.2013.08.001.
Salvage esophagectomy is a viable treatment option in the management of recurrent or persistent esophageal cancer and can be performed with acceptable morbidity and mortality in a select group of patients. Patient selection should include a complete restaging evaluation, cardiopulmonary testing, and an assessment of functional status. A majority of patients with persistent or recurrent esophageal cancer are not candidates for salvage resection. Carefully selected patients undergoing a salvage resection can have outcomes similar to those undergoing a planned esophagectomy after definitive chemoradiotherapy.
挽救性食管切除术是治疗复发性或持续性食管癌的可行治疗选择，在选择的患者群体中，可在可接受的发病率和死亡率下进行。患者选择应包括全面的重新分期评估、心肺功能测试以及功能状态评估。大多数持续性或复发性食管癌患者不适合进行挽救性切除术。经过仔细选择的接受挽救性切除术的患者可以获得与接受明确放化疗后计划性食管切除术相似的结果。
