Pesková M, Blazek O
Rozhl Chir. 1989 Feb;68(2):67-71.
The authors give an account of 17 late re-operations performed after 14 resections and three palliative operations of carcinoma of the oesophagus and cardia, on account of stenosis of the anastomosis. After primary resection on account of carcinoma of the cardia 9 patients were re-operated and on account of carcinoma of the oesophagus five patients: three times because of a cicatricial stenosis and 11 times on account of narrowing of the anastomosis due to a relapse of the oesophageal tumour or in the surrounding nodes. The interval after resection was on average 13.7 months. Re-resection was possible only in two patients, seven times an endoprosthesis was introduced, three times a bypass was made, once jejunostomy and once the operation ended by probatory laparotomy. The mortality of all re-operations was 35.7%, the survival was 6-11 months.
作者报告了17例晚期再次手术,这些手术是在14例食管癌和贲门癌切除术后以及3例姑息手术后进行的,原因是吻合口狭窄。因贲门癌初次切除术后,9例患者接受了再次手术;因食管癌,5例患者接受了再次手术:3例因瘢痕性狭窄,11例因食管肿瘤复发或周围淋巴结转移导致吻合口狭窄。切除术后的平均间隔时间为13.7个月。仅2例患者可行再次切除,7次置入了内支架,3次进行了旁路手术,1次进行了空肠造口术,1次手术以试探性剖腹术结束。所有再次手术的死亡率为35.7%,生存期为6至11个月。