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作者近10年来先后为5例胃次全切除术后食管癌的病人进行食管癌根治手术,取得了一些经验,改变了以往对此类病人放弃手术而行放,化疗的观念.5例中,男3例,女2例,年龄45岁～60岁.距胃切除手术时间16年～22年.首次因胃或十二指肠溃疡手术者4例,胃小弯腺癌手术者1例.原胃次全切除术式,毕罗氏Ⅱ式结肠前3例,毕罗氏Ⅰ式2例.5例中,中段食管癌2例,下段食管癌3例.肿瘤长度3cm～5cm.病理报告全部为鳞癌.本组病例全部行食管残胃主动脉弓上吻合.发生1例隔疝,为胃次全切除毕罗氏Ⅱ式结肠前术者,经再次手术而愈.
In the past 10 years, the author has performed radical surgery for esophageal cancer in 5 cases of esophageal cancer after subtotal gastrectomy and gained some experience, changing the previous concept of abandonment of surgery and chemotherapy for such patients. In 5 cases, There were 3 males and 2 females, aged 45 to 60 years old. The time from gastrectomy was 16 to 22 years. The first operation was gastric or duodenal ulcer surgery in 4 cases, and the operation of gastric adenocarcinoma was 1 case. Primary subtotal gastrectomy, Birol’s type II colon in 3 cases, Birol’s I in 2 cases, 5 cases, middle esophageal carcinoma in 2 cases, lower esophageal carcinoma in 3 cases. Tumor length 3cm to 5cm. Pathology reports were all Squamous cell carcinoma. All patients in this group had anastomosis of the aortic arch of the esophageal remnant stomach. There was a case of septum, which was subtotal gastrectomy for Bilobl II type precolonectomy.