同时性食管和食管胃交界部重复癌的腔镜微创外科治疗效果
Thoraco-laparscopic surgery for synchronous esophageal squamous cell carcinoma and adenocarcinonm at esophagogastric junction
目的 探讨同时性食管和食管胃交界部重复癌的腔镜微创外科治疗效果.方法 回顾性分析2010年1月至2017年1月长治医学院附属和平医院同时性食管和食管胃交界部重复癌17例患者的临床资料.结果 17例患者中9例行胸、腹腔镜联合食管及近端胃部分切除+胃食管颈部吻合术,3例行胸、腹腔镜联合食管及近端胃部分切除+胃食管胸内吻合术,5例行腹腔镜辅助食管胃交界部癌根治全胃切除术联合食管癌放射治疗.所有患者均顺利度过围手术期,无围手术期死亡及严重并发症发生,术后1、3、5年累积生存率分别为100%、42%、24%.结论 腔镜微创外科手术结合局部放射治疗是食管和食管胃交界部重复癌患者安全有效的治疗方法.
更多Objective To evaluate endoscopic surgical treatment of synchronous esophageal squamous cell carcinoma and adenocarcinonm at the esophagogastric junction.Methods The clinical data of 17 patients with synchronous esophageal squamous cell carcinoma associated with adenocarcinoma of esophagogatric junction between Jan 2010 and Jan 2017 were analyzed retrospectively.Results Among these 17 patients,9 patients underwent thoracoscopy and laparoscopy with partial resection of esophagus and proximal stomach,and gastroesophageal and neck anastomosis.3 patients underwent thoracoscopy and laparoscopy with partial resection of esophagus and proximal stomach,gastroesophageal intrathoracic anastomosis.Laparoscopic radical total gastrectomy combined with radiotherapy for esophageal cancer was performed in 5 cases.There was not perioperative death or serious complications.The cumulative survival rates of 1,3 and 5 years after surgery were 100%,42% and 24%,respectively.Conclusion Thoracolaparscopic surgery combined with local radiation therapy is a safe and effective treatment for patients with synchronous esophageal squamous cell carcinoma and adenocarcinoma at esophagogastric junction.
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