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食管癌的治疗与术后并发症:综述

The treatments and postoperative complications of esophageal cancer: a review.

作者信息

Xu Qi-Liang, Li Hua, Zhu Ye-Jing, Xu Geng

机构信息

Department of Cardiothoracic Surgery, Heze Municipal Hospital, Heze, 274031, Shandong, China.

Department of Information, Heze Municipal Hospital, Heze, 274031, Shandong, China.

出版信息

J Cardiothorac Surg. 2020 Jul 6;15(1):163. doi: 10.1186/s13019-020-01202-2.

Abstract

UNLABELLED

Esophageal cancer is still one of the most common cancers in the world. We review the appropriate treatments at different stages of esophageal cancer and also analyze the advantages and disadvantages of these treatments. The prognosis and recovery of different treatment regimens are further discussed. In particular, post-operative complications are the major causes of high mortality derived from the esophageal cancer. Therefore, we particularly discuss the main complications resulting in high mortality after surgery of esophageal cancer, and summarize their risk factors and treatment options.

BACKGROUND

As the common cancer, the complications of esophageal cancer after surgery have been not obtained systematic treatment strategy, focusing on treatment regimens based on the different stages of esophageal cancers.

METHODS AND OVERVIEW

This paper systematically summarizes the appropriate treatment strategies for different stages of esophageal cancers, and their advantages and disadvantages. We particularly focus on the postoperative survival rate of patients and postoperative complications, and discuss the causes of high mortality risk factors after surgery. The risk factors of death and corresponding treatment methods are further summarized in this study.

CONCLUSION

Postoperative complications is the main cause responsible for the hard cure of esophageal cancers. The existing literatures indicate that postoperative anastomotic fistula is one of the most important complications leading to death, while it has not received much attention yet. We suggest that anastomotic fistula should be detected and dealt with early by summarizing these literatures. It is, therefore, necessary to develop a set of methods to predict or check anastomotic fistula in advance.

摘要

未标注

食管癌仍然是世界上最常见的癌症之一。我们回顾了食管癌不同阶段的适当治疗方法,并分析了这些治疗方法的优缺点。进一步讨论了不同治疗方案的预后和恢复情况。特别是,术后并发症是食管癌导致高死亡率的主要原因。因此,我们特别讨论了食管癌手术后导致高死亡率的主要并发症,并总结了它们的危险因素和治疗选择。

背景

作为常见癌症,食管癌术后并发症尚未获得系统的治疗策略,重点在于基于食管癌不同阶段的治疗方案。

方法与概述

本文系统总结了食管癌不同阶段的适当治疗策略及其优缺点。我们特别关注患者的术后生存率和术后并发症,并讨论手术死亡率高的危险因素。本研究进一步总结了死亡的危险因素及相应的治疗方法。

结论

术后并发症是食管癌难以治愈的主要原因。现有文献表明,术后吻合口瘘是导致死亡的最重要并发症之一,但尚未得到足够重视。我们建议通过总结这些文献,早期发现并处理吻合口瘘。因此,有必要制定一套提前预测或检查吻合口瘘的方法。

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Hybrid Minimally Invasive Esophagectomy for Esophageal Cancer.杂交微创食管癌切除术。
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