Buntain W L, Payne W S, Lynn H B
Am Surg. 1980 Feb;46(2):67-79.
Replacement of all or part of the esophagus, for whatever reason, requires intimate familiarity with the advantages, disadvantages, and long-term results of various techniques of reconstruction. For benign esophageal disease, because of the expected longer natural history of such lesions, long-term results should be more informative. The Mayo Clinic experience with esophageal reconstruction for benign disease is reviewed for the 15-year period of July 1955 through July 1970, critically evaluating the long-term results of from 8 to 21 years. Thirty-nine patients, with a male-to-female ratio of two to one, underwent 44 operative reconstructions. Only 41 per cent had uncomplicated postoperative courses, with a five per cent operative mortality (two patients) and a 15 per cent late related mortality. The average duration of hospitalization was three weeks. Despite the morbidity and mortality, most patients report good to excellent results, confirmed by physician assessment.
无论出于何种原因，全部或部分食管置换都需要深入了解各种重建技术的优缺点及长期效果。对于良性食管疾病，鉴于此类病变预期的自然病程较长，长期效果应更具参考价值。本文回顾了梅奥诊所1955年7月至1970年7月这15年间对良性疾病进行食管重建的经验，严格评估了8至21年的长期效果。39例患者接受了44次手术重建，男女比例为2比1。术后病程无并发症者仅占41%，手术死亡率为5%（2例患者），晚期相关死亡率为15%。平均住院时间为三周。尽管有发病率和死亡率，但经医生评估证实，大多数患者报告效果良好至极佳。
