Endo M, Takeshita K, Inoue H
First Dept. of Surgery, Tokyo Medical and Dental University, Japan.
Gan To Kagaku Ryoho. 1995 Feb;22(2):192-5.
Limited surgery, esophagectomy without thoracotomy or endoscopic mucosal resection (EMR), is indicated for mucosal cancer of the esophagus without lymph node metastasis. Mucosal cancer less than 2 cm in size or less than a third of the circumference of the esophagus, is suitable for EMR. However, mucosal cancer invasive to the muscularis mucosa is excluded. As for postoperative complications, a small fissure, two cases of stenosis and 3 cases of oozing bleeding, were experienced. Conservative treatment was performed for all patients except one. The 5-year survival rate of EMR was 95%-100% in several institutions in Japan. Recurrence was observed in 3%-7%, however, it was cured by means of local treatment of esophageal cancer.
局限性手术，即不开胸的食管切除术或内镜黏膜切除术（EMR），适用于无淋巴结转移的食管黏膜癌。直径小于2 cm或小于食管周长三分之一的黏膜癌适合EMR。然而，侵犯黏膜肌层的黏膜癌被排除在外。至于术后并发症，出现了1处小裂缝、2例狭窄和3例渗血。除1例患者外，所有患者均接受了保守治疗。在日本的几家机构中，EMR的5年生存率为95%-100%。观察到3%-7%的复发率，但通过食管癌的局部治疗得以治愈。
