Abrescia F, Breda B, Montresor E, Iacono C, Bertrand C, Ferrari M, Barozzi E, Puchetti V
Chir Ital. 1987 Feb;39(1):17-23.
The authors report on their experience with 42 cases of squamous carcinoma of the oesophagus subjected to oesophagectomy and oesophagogastroplasty. The patients' mean age was 55.2 years (range: 41-70) with a 13:1 male/female ratio. A positive history of cigarette smoking and of alcohol consumption was found in 87% and 80% of patients respectively. The sites of the neoplasms were as follows: 24 in the mid 3rd of the oesophagus, 9 in the lower 3rd, 6 in the upper 3rd of the thoracic oesophagus and 3 in the cervical oesophagus. In 39 patients the operation was performed in two stages according to Lewis and in 2 cases it was performed in 3 stages according to McKeown, while one patient was treated with a pull-through operation according to Akiyima. Six patients died during the first 30 days postoperatively as a result of circulatory complications or ARDS. Fistulization of the anastomosis as observed in 5 cases, though this was clinically manifest only in two. Mean survival was 5.9 months, 18.6 months and 10.5 months according to the period considered.
作者报告了他们对42例接受食管切除术和食管胃成形术的食管鳞状癌患者的治疗经验。患者的平均年龄为55.2岁（范围：41 - 70岁），男女比例为13:1。分别有87%和80%的患者有吸烟和饮酒史。肿瘤部位如下：食管中段24例，下段9例，胸段食管上段6例，颈段食管3例。39例患者根据Lewis法分两期进行手术，2例根据McKeown法分三期进行手术，1例患者根据秋山法进行经腹经颈食管内翻拔脱术。6例患者术后30天内死于循环系统并发症或急性呼吸窘迫综合征（ARDS）。观察到5例吻合口瘘，不过只有2例有临床症状。根据所考虑的时间段，平均生存期分别为5.9个月、18.6个月和10.5个月。
