Welvaart K, de Jong P L
J Surg Oncol. 1986 Aug;32(4):197-9. doi: 10.1002/jso.2930320402.
The choice of palliative therapy in patients with carcinoma of the lower esophagus and cardia is mainly between irradiation and surgery. The present report is a retrospective analysis of 40 consecutive patients who recovered after resection of the tumor. The operation was considered to be palliative in all patients. The ability to swallow in proportion to the duration of the remaining life is used as a parameter for the quality of life. After esophago-gastrostomy, the average survival amounts to 24 months, permitting the patient to enjoy an almost normal diet. In spite of the palliative intention of the treatment, one-third of the patients exceed 3-year survival.
对于食管下段癌和贲门癌患者,姑息治疗方法主要在放疗和手术之间选择。本报告是对40例肿瘤切除术后康复的连续病例进行的回顾性分析。所有患者的手术均被视为姑息性手术。将吞咽能力与剩余生命时长的比例作为生活质量的一个参数。食管胃造口术后,平均生存期达24个月,患者能够享受几乎正常的饮食。尽管治疗目的是姑息性的,但仍有三分之一的患者生存期超过3年。