Choi T K, Siu K F, Lam K H, Wong J
Am J Surg. 1984 Jun;147(6):760-2. doi: 10.1016/0002-9610(84)90195-8.
Involvement of the tracheobronchial tree, as observed through the bronchoscope, was in the form of impingement or invasion. Bronchoscopy was performed on 525 patients with carcinoma of the esophagus. Impingement was found in 91 patients and invasion in 87 patients. Forty-eight of the 63 patients with impingement and 7 of the 51 patients with invasion were found to have resectable tumors. Bypass operations were performed on the rest of the patients. The operative mortality was high for both bypass and resection procedures. The median survival for bypassed patients and resected patients were 4 months and 9 months, respectively. Four resected patients survived 3 years or more, 2 of whom had no evidence of recurrence. Most patients with impingement have resectable tumors and long-term survival is possible if the tumor can be resected.
通过支气管镜观察，气管支气管树受累表现为受压或侵犯。对525例食管癌患者进行了支气管镜检查。发现91例受压，87例侵犯。63例受压患者中有48例和51例侵犯患者中有7例发现肿瘤可切除。其余患者进行了旁路手术。旁路手术和切除手术的手术死亡率都很高。旁路手术患者和切除手术患者的中位生存期分别为4个月和9个月。4例切除患者存活3年或更长时间，其中2例无复发迹象。大多数受压患者有可切除的肿瘤，如果肿瘤能够切除，有可能长期存活。
