摘要目的 探讨同时性食管及食管胃交界区重复癌的诊断及外科治疗.方法 回顾性分析2004年1月至2010年9月间8例同时性食管及食管胃交界区重复癌患者的临床资料.结果 8例同时性食管及食管胃交界区重复癌患者中,4例行经左胸食管及近端胃部分切除,胃食管吻合术;2例行腹胸联合切口食管部分切除,全胃切除空肠-食管Roux-en-Y吻合术;1例行食管大部切除,近端胃切除,结肠食管-残胃间置术;1例行剖腹探查术.8例患者均顺利渡过围术期,无围术期死亡及严重并发症发生.结论 8例食管及食管胃交界区重复癌患者术前均接受胃镜检查确诊.外科手术是食管及食管胃交界区重复癌患者安全有效的治疗方法.

abstractsObjective To explore the diagnosis and surgical surgical treatment of synchronous esophageal squamous cell carcinoma and adenocarcinoma of esophagogastric junction. Methods The clinical datas of 8 patients with synchronous esophageal squamous cell carcinoma associated with adenocarcinoma of esophagogastric junction between January 2004 and September 2010 were analyzed retrospectively. Results Partial esophagectomy and esophagogastery with esophgogastomy transleft-thoracic approach(4 cases), partial esophagectomy and total gastrectomy with Roux-en-Y esophagojejunostomy transabdomino-thoracic incision(2 cases), esophagectomy and esophagogastery with esophagocologastrostomy(1 case), exploratory laparotomy(1 case) were performed respectively. No severe complications occurred post-operatively in the group. Conclusions Diagnosis of synchronous esophageal squamous cell carcinoma associated with adenocarcinoma of esophagogastric junction should be confirmed preoperatively with endoscopy. Surgical treatment of synchronous esophageal squamous cell carcinoma associated with adenocarcinoma of esophagogastric junction was safe and effective.