Wu Xu, Zhang Zhen-Zhong, Liu Nan-Bo, Zhang Jun-Hua
Department of Cardiothoracic Surgery of Huiqiao Medical Center, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China.E-mail:
Nan Fang Yi Ke Da Xue Xue Bao. 2016 Jun 20;36(7):1018-20.
An esophageal squamous cell carcinoma measuring 18.3 cm in length and 5 cm in diameter was found in the mediastinum of a 53-year man. The patient underwent a modified 3-stage esophagectomy and an esophagogastrostomy at the cervical level (Wu's method). The operation was performed smoothly and the patient recovered uneventfully after the operation. The patient was followed up for 6 months after discharge and reported no difficulties in eating with improved quality of life. This case represents the world's longest esophageal cancer that had been surgically removed. Local advanced esophageal cancer should be removed immediately to prevent potential occurrence of esophageal obstruction, tracheoesophageal fistula or aorto-esophageal fistula.
在一名53岁男性的纵隔中发现了一例长度为18.3厘米、直径为5厘米的食管鳞状细胞癌。该患者接受了改良的三阶段食管切除术，并在颈部进行了食管胃吻合术（吴氏法）。手术顺利进行，患者术后恢复良好。患者出院后随访6个月，报告进食无困难，生活质量有所改善。该病例代表了世界上经手术切除的最长食管癌。局部晚期食管癌应立即切除，以防止食管梗阻、气管食管瘘或主动脉食管瘘的潜在发生。
