Tabech A Z, Topart P, Vandenbroucke F, Miossec A, Lozac'h P
Service de Chirurgie Viscérale 1, CHU de la Cavale Blanche, Brest.
J Chir (Paris). 1997;134(9-10):362-7.
75 patients with an epidermoid carcinoma of the esophagus were studied. They all were stage T3 with or without lymph node involvement but without distant metastasis (T3 N0 M0 or T3 N+, M0). All the patients had a curative esophagectomy according to the Ivor Lewis procedure without any adjuvant treatment. In hospital mortality was 4%. There is a 28% 5 year actuarial survival in this group of patients where 60% had lymph node involvement. None of the 13 prognostic factors showed a significant relevance with respect to survival after an univariate analysis. Meanwhile surgical treatment ensured good digestive comfort and good quality of life at home.
对75例食管鳞状细胞癌患者进行了研究。他们均为T3期，有或无淋巴结受累，但无远处转移（T3 N0 M0或T3 N+，M0）。所有患者均根据艾弗·刘易斯手术进行了根治性食管切除术，未接受任何辅助治疗。住院死亡率为4%。在这组患者中，5年精算生存率为28%，其中60%有淋巴结受累。单因素分析显示，13个预后因素中没有一个与生存有显著相关性。同时，手术治疗确保了良好的消化舒适度和在家中的良好生活质量。
