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[食管癌患者允许经口进食的姑息治疗方法(作者译)]

[Palliative methods permitting oral feeding in patients with carcinoma of the esophagus (author's transl)].

作者信息

Fékété F, François M, Baboka G, Lortat-Jacob J L

出版信息

J Chir (Paris). 1978 Dec;115(12):649-52.

PMID:84816
Abstract

405 patient with carcinoma of the esophagus were operated on the unit from 1st January 1972 to 15th February 1977. Among these 405 patients, 55 underwent prolonged esophageal intubation and 24 a palliative operation. We considered successively the various methods of prolonged intubation and the various types of palliative operation possible. At the end of this study, it appears that palliative surgery for carcinoma of the esophagus owing to the severity of the operation and the high post-operative mortality and the doubtful functional results, should be reserved for eso-respiratory fistulas, per-operative loss of esophageal blood supply, and the contra-indications to prolonged intubation. On the other hand, it seems that the indications for prolonged intubation should be enlarged at the expense of those for gastrectomy, excluding however stenosing or too extensive carcinomas and carcinoma of the upper.

摘要

1972年1月1日至1977年2月15日期间,该科室对405例食管癌患者进行了手术。在这405例患者中,55例行延长食管插管术,24例行姑息性手术。我们依次考虑了延长插管的各种方法以及可能的各种姑息性手术类型。在这项研究结束时,由于手术的严重性、高术后死亡率以及可疑的功能结果,食管癌的姑息性手术应仅用于食管气管瘘、术中食管血供丧失以及延长插管的禁忌情况。另一方面,似乎延长插管的适应证应扩大,以牺牲胃切除术的适应证为代价,但狭窄性或范围过大的癌以及上段癌除外。

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