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[癌症患者咽食管切除术后游离空肠移植重建:功能结果与生存率]

[Reconstruction with free jejunal graft after pharyngo-esophageal resection for cancer: functional results and survival].

作者信息

Triboulet J P, Bizard J P, Chevalier D, N'Guyen K T, Patenotre P, Erb C

机构信息

Service de Chirurgie Générale et Endocrinienne, Hôpital Cl.-Huriez, Lille.

出版信息

Ann Chir. 1994;48(5):398-406; discussion 407-11.

PMID:7810972
Abstract

57 patients with cancer of the hypopharynx underwent 59 pharyngo-esophageal reconstructions with a free jejunal graft after total removal of a tumor combined with resection of the circumferential tissues. 18 patients had been previously irradiated. Median resumption of oral intake was 16 days; 40 out of 50 patients (98%) followed for more than 2 years regained normal eating habits. The cumulative 5-year survival rate was 44%. The free jejunal graft should be advocated as a safe and reliable procedure for hypopharyngeal cancer.

摘要

57例下咽癌患者在肿瘤完全切除并切除周围组织后,采用游离空肠移植进行了59次咽食管重建。18例患者先前接受过放疗。口服摄入恢复的中位时间为16天;50例随访超过2年的患者中有40例(98%)恢复了正常饮食习惯。5年累积生存率为44%。游离空肠移植应作为下咽癌一种安全可靠的手术方法加以提倡。

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