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针对传统治疗高位食管瘤的标准术式所存在的问题,总结1995年1月至1996年9月我们采用的新术式和结果。全组185例,病变位于胸上段(35)或高位胸中段(150),食管切除后以文中所述方式在颈部重建食管。无手术死亡,无吻合口狭窄。吻合口瘘13例(7%),喉返神经损伤2例(1%)。认为本术式符合肿瘤根治原则,主要并发症发生率低于传统术式,简单方便,安全可靠。
In response to the problems of the traditional surgical procedure for the treatment of high-grade esophageal tumors, we summarized the new surgical procedure and results from January 1995 to September 1996. The entire group consisted of 185 patients whose lesions were located in the upper thoracic segment (35) or middle high segment (150). After esophagectomy, the esophagus was reconstructed in the neck as described in the text. No operative death, no anastomotic stenosis. Anastomotic fistula occurred in 13 cases (7%) and recurrent laryngeal nerve injury in 2 cases (1%). It is considered that this surgical method is in line with the principle of radical tumor treatment. The incidence of major complications is lower than that of traditional surgical procedures. It is simple, convenient and safe.