Triboulet J P, Darras J, Bocquillon P, Ribière P
Chirurgie. 1989;115(3):210-9.
60 reconstructive procedures after T.C.P.L. for cancer were carried out between 1983 and 1988. The colon was used in 4 cases, complete stomach in 35 cases and free jejunal graft in 21 cases. The procedure was carried out for upper oesophageal involvement in 39 cases or required oesophageal resection in 21 cases. Hospital mortality was 3% (2 deaths). Morbidity was higher in the colonic plasty group (50%) than in the gastric plasty (30%) or free jejunal graft group (14%). Hospitalisation time was short and satisfactory alimentation was achieved. According to the authors, these results confirm the superiority of digestive plasties over cutaneous, myocutaneous or fascio-cutaneous flaps. The prognosis of these lesions remains poor; the wider excision which is made possible by these reconstructive methods, combined with chemotherapy and radiotherapy should lead to improved survival in these patients.
1983年至1988年间，针对癌症患者在全胃切除术后进行了60例重建手术。其中4例使用结肠，35例使用全胃，21例使用游离空肠移植。该手术用于39例食管上段受累患者或21例需要食管切除的患者。医院死亡率为3%（2例死亡）。结肠成形术组的发病率（50%）高于胃成形术组（30%）或游离空肠移植组（14%）。住院时间较短，且实现了满意的营养供给。据作者称，这些结果证实了消化性整形术优于皮肤、肌皮或筋膜皮瓣。这些病变的预后仍然很差；这些重建方法使得更广泛的切除成为可能，再结合化疗和放疗，应该会提高这些患者的生存率。
