Kochegarov A A, Liubshin V I, Alimnazarov Sh A
Grudn Khir. 1989 Jul-Aug(4):71-5.
The results of surgical and combined treatment of 79 patients with cancer of the thoracic esophagus are discussed. All underwent resection of the esophagus. One-stage esophagogastroplasty was carried out in 44 patients, in 35 patients resection of the esophagus was the first stage of treatment, esophagogastroplasty was undertaken 6-8 weeks later. The authors describe their techniques of separating the upper part of the esophagus, forming the gastric tube and inserting it through the posterior mediastinum. Postoperative mortality was 15.9% in one-stage and 22.8% in postponed esophagogastroplasty. Completeness of treatment in both groups in relation to the total number of patients subjected to resection of the esophagus was 86.5 and 48.1%, respectively. Preoperative radiotherapy influenced neither the incidence of complications nor the mortality.
讨论了79例胸段食管癌患者的手术及综合治疗结果。所有患者均接受了食管切除术。44例患者进行了一期食管胃成形术，35例患者食管切除术为治疗的第一阶段，6 - 8周后进行食管胃成形术。作者描述了分离食管上部、形成胃管并将其经后纵隔插入的技术。一期手术的术后死亡率为15.9%，延期食管胃成形术的术后死亡率为22.8%。两组相对于接受食管切除术的患者总数的治疗完成率分别为86.5%和48.1%。术前放疗对并发症发生率和死亡率均无影响。
