实用临床医药杂志2012,Vol.16Issue(11):129-130,2.
食管胃双源病变的外科治疗
Surgical treatment for synchronous primary carcinoma of esophagus and stomach
摘要
Abstract
Objective To explore the surgical treatment and choice for surgical procedure for synchronous primary carcinoma of esophagus and stomach. Methods The clinical data of 12 patients with synchronous primary carcinoma of esophagus and stomach who were admitted to our hospital from May 2008 to January 2012 were retrospectively analyzed. Results All the 12 patients underwent surgical treatment: 6 had incisions through right chest and abdomen, 3 through left chest, 2 through left chest and abdomen, and 1 through the left neck and right thoracic abdomen. Ten patients received surgery of stomach- replacing- esophagus, 1 received Roux- en- Y surgery (anastomosis of esophagus and jejunum) and the other one replaced esophagus with colon. The incidence rate of postoperative fistula was 16.7%. Conclusion It is safe and viable to perform surgical treatment to patients with synchronous primary carcinoma of esophagus and stomach. The commonly used substitute is the stomach. If the stomach is unavailable, jejunum and colon can be chosen instead.关键词
食管癌/胃癌/外科治疗Key words
esophageal carcinoma/ gastric carcinoma/ surgical treatment分类
医药卫生引用本文复制引用
刘德森,俞力超,朱孝中,蒋志华..食管胃双源病变的外科治疗[J].实用临床医药杂志,2012,16(11):129-130,2.基金项目
江苏大学医学临床科技发展基金资助项目(JLY2010165) (JLY2010165)