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食管癌是一种常见恶性肿瘤,高龄食管癌常缺乏典型症状,早期不易诊断,就诊时较多患者已经进入中晚期。对于早期高龄食管癌,手术切除是最为有效的治疗方法 ,而对于中、晚期食管癌患者的手术方法及手术切除范围,国内外专家尚有不同看法。国外一些学者认为应行广泛的组织清扫术,国内大部分同行主张不适合采用手术时间过长和手术创伤过大的手术方案。此外,电视胸腔镜手术(Video-assistedthoracoscopic surgery,VATS)及胸腹腔镜联合手术、内镜下行早期食管癌切除术等方法已广泛应用于高龄食管癌的外科治疗。
Esophageal cancer is a common malignant tumor, esophageal cancer often lack the typical symptoms of early diagnosis is not easy, more patients have been admitted to the advanced stage. For early esophageal cancer, surgical resection is the most effective treatment for patients with advanced esophageal cancer surgical resection and surgical resection scope, the experts at home and abroad have different views. Some foreign scholars believe that a wide range of tissue dissection should be performed, most of the domestic counterparts are not suitable for the use of surgical time is too long and surgical trauma surgery program. In addition, Video-assisted thoracoscopic surgery (VATS) and thoraco-laparoscopic surgery combined with endoscopic esophagectomy and other early esophageal resection has been widely used in the surgical treatment of advanced esophageal cancer.