中国医学创新Issue(22)：110-111,112,3.DOI:10.3969/j.issn.1674-4985.2013.22.053
残胃状态下食管癌与贲门癌的外科治疗策略
Surgical Strategies of Primary Cardiac and Esophageal Carcinoma of Remnant Stomach
李永锋 1黄伯湘 1陈记财 1李佳 1陈钢1
作者信息
- 1. 广州中医药大学第二附属医院，广东省中医院 广东 广州510120
- 折叠
摘要
Abstract
Objective:To investigate the surgical treatment of primary esophageal and cardia carcinoma of remnant stomach. Method:From January 2005 to December 2012 in our hospital,8 cases of patients with primary esophageal or cardia carcinoma of remnant stomach were underwent radical surgical resection. Result:The average time of the 8 cases of patients under the condition of gastric stump was 11.7 years,2 cases were underwent subtotal gastrectomy with Billroth I reconstruction,and 6 cases were underwent Billroth II reconstruction. Then 2 cases of patients with esophageal carcinoma were accepted Triple-incision esophagectomy combined replacement with colon;6 cases of patients with cardiac carcinoma all through the abdominal incision,2 cases were accepted cardiac carcinoma and the lower esophagus resection combined Jejunal interposition esophageal anastomosis, 4 cases were accepted cardia carcinoma and remnant gastric resection combined P-shaped jejunal loop on behalf of the stomach Roux-en-Y anastomosis. Conclusion:For gastrectomy patients in the gastric remnant state,the early or locally advanced esophageal or cardiac carcinoma can also be underwent radical surgery resection. Before surgery,selecting the appropriate individualized surgical plan on the basis of patient’s lesions,can achieve the desired therapeutic effect.关键词
胃切除术/食管肿瘤/胃肿瘤/外科手术Key words
Gastrectomy/Stomach carcinoma/Esophageal carcinoma/Surgical strategies引用本文复制引用
李永锋,黄伯湘,陈记财,李佳,陈钢..残胃状态下食管癌与贲门癌的外科治疗策略[J].中国医学创新,2013,(22):110-111,112,3.
