临床外科杂志 ›› 2023, Vol. 31 ›› Issue (12): 1141-1143.doi: 10.3969/j.issn.1005-6483.2023.12.009

• 论著 • 上一篇    下一篇

食管癌术后再发上消化道恶性肿瘤的外科手术治疗

  

  1. 430070 武汉大学人民医院胸外科 
  • 收稿日期:2023-02-23 出版日期:2023-12-20 发布日期:2023-01-15
  • 通讯作者: 黄杰,Email:doctor_huangjie@126.com

Surgical treatment of upper gastrointestinal cancer after esophagectomy

  1. Department of Thoracic Surgery,Renmin Hospital of Wuhan University,Wuhan 430070,China
  • Received:2023-02-23 Online:2023-12-20 Published:2023-01-15

摘要: 目的 总结食管癌术后再发上消化道恶性肿瘤外科手术治疗的临床经验。方法 回顾性分析我院2018年1月~2022年6月收治的16例食管癌术后再发上消化道恶性肿瘤病人的临床资料。结果 16例病人均成功完成手术,无围手术期死亡发生,累计住院时间18~38天。术后肺部感染者2例,呼吸衰竭者1例,颈部吻合口漏1例,经保守治疗后治愈。术后随访均可正常进食,未发现肿瘤复发转移。结论 对于食管癌术后再发上消化道恶性肿瘤的病人,若病变较为局限,外科手术治疗疗效可靠。

关键词: 再切除术, 食管癌术后, 上消化道恶性肿瘤, 胸胃癌

Abstract: Objective To summarize the clinical experience in the treatment of postoperative upper gastrointestinal cancer of esophageal cancer. Methods The clinical data of 16 patients with postoperative upper gastrointestinal malignancies treated in our hospital from January 2018 to June 2022 were retrospectively analyzed. Results All the 16 patients successfully completed the operation,and no perioperative death occurred.The cumulative length of hospitalization was 18-38 days.After operation,2 cases of pulmonary infection,1 case of respiratory failure,and 1 case of cervical anastomotic fistula were cured after conservative treatment.All patients could eat normally during postoperative follow-up,and no tumor recurrence and metastasis was found. Conclusion For patients with recurrent upper gastrointestinal cancer after esophageal cancer surgery,if the lesion is relatively limited,surgical treatment is reliable and an optional treatment plan.

Key words: reexcision, after esophagectomy, upper gastrointestinal cancer, gastric tube cancer

[1] 江万里 曾文慧 王新 宋恒雅 杨森 黄杰 谢颂平. 食管癌术后再发胸胃癌的外科治疗[J]. 临床外科杂志, 2020, 28(7): 631-633.
[2] 谢颂平 康敢军 张兴华 江万里 黄杰. 食管癌术后复发再次手术临床疗效分析[J]. 临床外科杂志, 2018, 26(9): 674-675.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!