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胸骨后结肠代食管术在六十年代已被应用于中段及中上段食管癌的治疗,但因血运差,颈部吻合口瘘的发病率较高,故以后渐被废之不用.过去对晚期中段及中上段食管癌,多采用姑息疗法,以至病人不能进食而活活饿死.随着微血管吻合技术的发展,国内近来开展部分游离结肠代食管或空肠代食管术。我院于80年9月至81年2月共收治晚期中段及中上段食管癌五例,均采用胸骨后部分游离横结肠代食管术,效果良好.兹简述如下:
In the 1960s, the sternal back-to-colony generation esophagus has been used for the treatment of middle and upper esophageal cancer. However, due to poor blood supply and high incidence of cervical anastomotic leakage, it has gradually become obsolete. In the late middle and upper middle esophageal cancer, palliative care is often used so that the patient can not eat and starve to death. With the development of microvascular anastomosis technology, some of the recent free colonic esophagectomy or jejunal esophageal surgery has been performed in China. In our hospital from September 1980 to February of the year of February, we treated a total of 5 patients with advanced esophageal cancer in the middle and upper stages. All patients were treated with a posterior part of the sternum. The results were as follows: