Chernousov A F, Kiladze M A
Khirurgiia (Mosk). 1995(2):6-9.
Results of surgical treatment of 264 patients with carcinoma of the cardio-esophageal region are analysed. Operability was 89.0 +/- 1.9%, resectability was 64.3 +/- 3.1% in the group of patients who underwent operation and 57.2 +/- 3.1% in the group of patients admitted to the clinic. The total number of complications in the group of patients subjected to radical (151) operations came to 41.7 +/- 4.0% and the number of patients with complications 21.2 +/- 3.3%. Incompetence of sutures of the esophageal anastomosis was encountered in 9.3 +/- 2.4% of cases, total postoperative mortality was 5.1 +/- 1.4%, mortality in the group of patients who underwent radical operation was 7.9 +/- 2.2%. Operative interventions with extended lymphadenectomy were performed in 106 cases, histologically verified metastases in the lymph nodes were found in 79.2 +/- 3.9% of cases. Five-year survival was recorded in 27.8% of cases, patients treated by extended lymphadenectomy live twice longer than those not subjected to lymphadenectomy.
对264例食管贲门癌患者的手术治疗结果进行了分析。手术可切除率为89.0±1.9%，接受手术治疗的患者组切除率为64.3±3.1%，入院患者组切除率为57.2±3.1%。接受根治性手术（151例）的患者组并发症总数为41.7±4.0%，出现并发症的患者数量为21.2±3.3%。食管吻合口缝线不愈合的发生率为9.3±2.4%，术后总死亡率为5.1±1.4%，接受根治性手术患者组的死亡率为7.9±2.2%。106例患者进行了扩大淋巴结清扫的手术干预，79.2±3.9%的病例发现有组织学证实的淋巴结转移。27.8%的病例记录有5年生存率，接受扩大淋巴结清扫治疗的患者生存时间是未接受淋巴结清扫患者的两倍。
