Miroshnikov B I, Labazanov M M, Pavelets K V, Lebedinskiĭ K M, Burakov V V
Vestn Khir Im I I Grek. 1998;157(2):14-7.
An experience with treatment of 193 patients with carcinoma of the thoracic part of the esophagus during the recent 7 years is generalized. A characteristic of oncological and functional operability in patients of this group is given. More than half of them were elderly (41.9%) and senile (12.4%) patients. Radical operative interventions were thought to be possible in 161 patients (83.4%). Resections of the esophagus in combination with esophagogastro-or esophagoenteroplasty were performed in 146 of them. Resectability was 90.6%. Postoperative lethality was 9.9%. For the last 2 years resectability had increased up to 96%, while the postoperative lethality had decreased to 4%.
总结了近7年对193例胸段食管癌患者的治疗经验。给出了该组患者肿瘤学和功能可切除性的特点。其中超过一半为老年(41.9%)和高龄(12.4%)患者。161例患者(83.4%)被认为可行根治性手术干预。其中146例行食管切除术并联合食管胃或食管肠成形术。可切除率为90.6%。术后死亡率为9.9%。在过去2年中,可切除率提高到了96%,而术后死亡率降至4%。