跨主动脉弓段食管癌的手术治疗

我院五年来手术治疗跨主动脉弓段食管癌 1 1 9例 ,根治性手术切除 1 0 1例 ,姑息性切除 1 1例 ,探手术 7例 ,切除率 94.1 % .本组无手术死亡 .术后随访一年、二年、三年、五年生存率分别是 77.2 %、 64.3%、 48.4%、 38.0 % .笔者认为 :跨主动弓段食管癌 ,手术中应熟悉该部位的解剖结构 ,细心操作 ,能提高手术切除率 ,防止并发症的发生 .随着手术技术的进步 ,病变部位及长度不应成为手术切除的决定性因素 .食管癌病人除有明显的手术禁忌者外 ,均可采取以手术治疗为主的综合治疗 .

Operative treatment of esophageal carcinoma across the aortic arch

Over the last 5 years,our hospital has performed operative treatment on 119 cases of esophageal carcinoma across the aortic arch,among them 101 cases by means of radical operation,11 cases by palliative operation,and 7 cases by exploratory operation,with a removal rate of 94 1%,and with an operative mortality of 0%.Follow-up survey has shown that the survival rates for 1,2,3,and 5 years are 77 2%,64 3%,48 4% and 38 0% respectively.It is considered that operative treatment of esophageal carcinoma across the aortic arch involves a profound understanding of the anatomical structure of the part of the esophagus in question along with a carefully-planned operation in our effort to raise the successful rate of excision and reduce operative complications.It is concluded that with the advances in operation technique,the site and length of the diseased part will no longer be a decisive factor in consideration of excision,and that combined treatment with operative treatment in the main is to be adopted except when the patient has one or another obvious operation contraindication.