关键词: 膜解剖, 结直肠外科, 腹腔镜, 全直肠系膜切除术, 完整结肠系膜切除术

Abstract: [Abstract]objective  To explore the surgery therapy for recurrent esophageal cancer patients after radical resection.Methods  The clinical data of 18 recurrent esophageal cancer patients who underwent radical resection were retrospectively reviewed.Surgery for recurrent gastric cancer patients achieves ideal longterm prognosis，which should perform actively.Radical resection was performed in 17 cases and palliative resection in 1 cases.Remnant gastricesophago anastomosis through Left oblique thoracoabdominal incision in 3 patients； 2 cases were performed ofesophageal RouxenY anastomosis and 1 case was performed coloesophago anastomosis through Left oblique thoracoabdominal incision； 12 cases were performed esophagectomy and coloesophago anastomosis through the threeincision （right thoracotomy，midline laparotomy and left cervical incisions）.Esophagectomy and alimentary canal reconstruction were performed in 13 patients at the same time.5 patients were treated with colonic esophageal substitution and selective operation for thenesophagectomy.Results  The inhospital postoperative mortality was 0.Pulmonary complications were most commonly observed complications among 4 patients； cervical Esophagocolo anastomosis site leakage developed in 1 patient； abdominal incision infection in 1 patient，all were cured after treatment.All patients were followed up，the palliative resected patients died 13 months after the operation.Conclusion  For patients with limited recurrence of esophageal cancer，if the patient's constitution allows，we have master surgical indications，taking active reoperation can prolong the patient's survival time.