关于食管癌外科治疗争议的个人观点。
A personal perspective on controversies in the surgical management of oesophageal cancer.
作者信息
McK Manson J, Beasley W D
机构信息
Abertawe Bro Morgannwg University Health Board, UK.
出版信息
Ann R Coll Surg Engl. 2014 Nov;96(8):575-8. doi: 10.1308/003588414X13946184901605.
Abstract
Significant disagreement and debate persist regarding several aspects of the optimal surgical management of oesophageal cancer. We address some of these issues based on our consecutive series of 165 patients undergoing oesophageal resection (reported in full elsewhere) and the available literature. The areas considered are controversial but we argue in favour of a 'traditional' two-stage open approach (Ivor-Lewis), leaving the pylorus alone, making no attempt to perform a radical lymphadenectomy and fashioning a hand sewn anastomosis.
摘要
关于食管癌最佳手术治疗的几个方面，目前仍存在重大分歧和争论。我们基于连续165例接受食管切除术的患者系列（完整报告见其他地方）以及现有文献，探讨其中一些问题。所考虑的领域存在争议，但我们主张采用“传统”的两阶段开放手术方法（艾弗-刘易斯手术），保留幽门，不试图进行根治性淋巴结清扫，并采用手工缝合吻合术。
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2
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Br J Surg. 2010 Dec;97(12):1845-53. doi: 10.1002/bjs.7231. Epub 2010 Oct 4.
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