挽救性食管切除术。

Salvage Esophagectomy.

机构信息

Department of Surgery, Temple University Hospital, 3401 North Broad Street C-401, Philadelphia, PA 19140, USA.

Lewis Katz School of Medicine at Temple University, Temple University Hospital, 3401 North Broad Street C-501, Philadelphia, PA 19140, USA.

出版信息

Surg Clin North Am. 2021 Jun;101(3):467-482. doi: 10.1016/j.suc.2021.03.008.

DOI:10.1016/j.suc.2021.03.008

PMID:34048766

Abstract

Salvage esophagectomy is an option for patients with recurrent or persistent esophageal cancer after definitive chemoradiation therapy or those who undergo active surveillance after induction chemoradiation therapy. Salvage resection is associated with higher rates of morbidity compared with planned esophagectomy but offers patients with locally advanced disease a chance at improved long-term survival. Salvage resection should be preferentially performed in a multidisciplinary setting by high-volume and experienced surgeons. Technical considerations, such as prior radiation dosage, radiation field, and choice of conduit, should be taken into account.

摘要

挽救性食管切除术是根治性放化疗后复发或持续性食管癌患者的一种选择，或诱导放化疗后进行积极监测的患者。与计划性食管切除术相比，挽救性切除术的发病率更高，但为局部晚期疾病患者提供了改善长期生存的机会。挽救性切除术应由高容量、经验丰富的外科医生在多学科环境中优先进行。应考虑技术因素，如既往放射剂量、放射野和移植物的选择。