Jensen B M, Andersen K B
Odense Universitetshospital, thorax-karkirugisk afdeling T.
Ugeskr Laeger. 1998 Jul 27;160(31):4531-3.
The purpose of the present study was to evaluate the results following surgical resection for cancer of the gastro-oesophageal junction. From 1. january 1988 to 1. april 1996 radical resection was intended in 107 patients at the Department of Thoracic and Cardiovascular Surgery at Odense University Hospital. Resection was possible in 75 patients. The operative mortality was 6.7% insufficiency of the gastro-oesophageal anastomosis was found in 6.7%. Five year survival was 24.1%. However in 52 patients where the resection was found to be radical the five-year survival was 35.3%. The results show that oesophago-gastrectomy could be performed with low mortality and morbidity. Long term survival is still low. To improve the results efforts should be directed toward earlier diagnosis, better selection and minimising post-operative complications.
本研究的目的是评估胃食管交界癌手术切除后的结果。从1988年1月1日至1996年4月1日，欧登塞大学医院胸心血管外科对107例患者进行了根治性切除。75例患者可行切除。手术死亡率为6.7%，胃食管吻合口漏发生率为6.7%。五年生存率为24.1%。然而，在52例被发现为根治性切除的患者中，五年生存率为35.3%。结果表明，食管胃切除术的死亡率和发病率较低。长期生存率仍然较低。为了改善结果，应致力于早期诊断、更好的选择以及尽量减少术后并发症。
