D'Amico Thomas A
Duke University Medical Center, Durham, North Carolina 27710, USA.
J Thorac Dis. 2014 May;6 Suppl 3(Suppl 3):S322-4. doi: 10.3978/j.issn.2072-1439.2014.03.28.
Esophageal cancer is increasing in incidence faster than other cancers in the US. Outcomes after esophagectomy may be related to many factors, including the age of the patient, the stage of the tumor, the operative approach, and the incidence of postoperative morbidity. Pulmonary complications are the major source of morbidity and mortality following esophageal resection, and numerous studies have identified various factors associated with these complications. Various operative approaches have been applied to the management of esophageal cancer, with the goal of optimal oncologic results with the lowest possible morbidity and mortality. The McKeown esophagogastrectomy is applicable for most patients with esophageal cancer, and the technique and results are reviewed.
在美国，食管癌发病率的增长速度比其他癌症更快。食管切除术后的结果可能与许多因素有关，包括患者年龄、肿瘤分期、手术方式以及术后并发症的发生率。肺部并发症是食管切除术后发病和死亡的主要原因，许多研究已经确定了与这些并发症相关的各种因素。为了以尽可能低的发病率和死亡率实现最佳的肿瘤学效果，人们已经采用了各种手术方式来治疗食管癌。麦克基翁食管胃切除术适用于大多数食管癌患者，本文将对该技术及其结果进行综述。
