Siosaki Marcos Duarte, Lacerda Croider Franco, Bertulucci Paulo Anderson, da Costa Filho José Orlando, de Oliveira Antônio Talvane Torres
Surgical Oncology Medical Resident, Barretos Cancer Hospital, Sao Paulo, Brazil
Surgical Oncologist, Upper Digestive Surgery Department, Barretos Cancer Hospital, Sao Paulo, Brazil.
J Surg Case Rep. 2013 Mar 26;2013(3):rjt017. doi: 10.1093/jscr/rjt017.
Esophageal cancer is a devastating disease with rapidly increasing incidence in Western countries. Dysphagia is the most common complication, causing severe malnutrition and reduced quality of life. A 69-year-old male with persistent esophageal cancer after radiation therapy was subjected to palliative by-pass surgery using a laparoscopic approach. Due to the advanced stage at diagnosis, palliative treatment was a more realistic option. Dysphagia is a most distressing symptom of this disease, causing malnutrition and reducing quality of life. The goal of palliation is to improve swallowing. The most common methods applied are endoscopic stenting, radiation therapy (external or brachytherapy), chemotherapy, yttrium-aluminum-garnet laser rechanneling or endoscopic dilatation. Palliative surgery is rarely proposed due to morbidity and complications. This paper demonstrates an update in the technique proposed by Postlethwait in 1979 for palliation of esophageal cancer.
食管癌是一种破坏性疾病，在西方国家其发病率正在迅速上升。吞咽困难是最常见的并发症，会导致严重营养不良并降低生活质量。一名69岁男性在放疗后仍患有持续性食管癌，接受了腹腔镜下姑息性旁路手术。由于诊断时已处于晚期，姑息治疗是更现实的选择。吞咽困难是这种疾病最令人痛苦的症状，会导致营养不良并降低生活质量。姑息治疗的目标是改善吞咽功能。最常用的方法是内镜支架置入、放射治疗（外照射或近距离放疗）、化疗、钇铝石榴石激光再通或内镜扩张。由于发病率和并发症，很少建议进行姑息性手术。本文展示了对1979年Postlethwait提出的食管癌姑息治疗技术的更新。
