Beik A I, Jaffray B, Anderson J R
The University Department of Surgery, Royal Infirmary, Glasgow, UK.
J R Coll Surg Edinb. 1996 Feb;41(1):25-9.
Over a 7-year period 68 patients with oesophageal carcinoma underwent transhiatal oesophagectomy, utilizing blunt dissection in 42 cases and eversion stripping in 26. The effects of the alternative techniques on mortality and morbidity have been analysed. There was no significant difference between the two techniques in terms of operative blood loss or time or the number of patients requiring post-operative ventilatory support. Stripping of the oesophagus was associated with significantly fewer cardiorespiratory complications and a shorter hospital stay. There was no significant difference in either 30-day or 3-month survival. Eversion stripping should become the preferred method of oesophageal resection once the primary tumour has been mobilized.
在7年期间，68例食管癌患者接受了经裂孔食管切除术，其中42例采用钝性分离，26例采用外翻剥脱术。分析了这两种不同技术对死亡率和发病率的影响。在手术失血量、手术时间或需要术后通气支持的患者数量方面，两种技术之间没有显著差异。食管剥脱术相关的心肺并发症明显较少，住院时间较短。30天或3个月生存率没有显著差异。一旦原发肿瘤能够游离，外翻剥脱术应成为食管切除术的首选方法。
