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本文报告食管癌和贲门癌切除术311例,残端癌的阳性率为7.1％(22/311),其中食管癌为5.4％(12/221),贲门癌为11.1％(10/90)。并分析了残端癌发生的相关因素。认为断端癌组织阳性与胃、食管切除的长度、是否有淋巴结转移。肿瘤的组织类型有关。3年随访结果表明断端癌组织阳性者的预后明显低于阴性患者,但断端癌组织并不影响局部吻合口愈合。
This article reports 311 cases of esophageal and cardiac cancer resection. The prevalence of stump cancer is 7.1% (22/311), with 5.4% (12/221) for esophageal cancer and 11.1% (10/90) for cardia cancer. The related factors of the occurrence of stump cancer were analyzed. It is considered that the cancerous tissue at the stump is positive and the length of the stomach and esophagectomy is removed, and whether there is lymph node metastasis. The tissue type of the tumor is related. The 3-year follow-up results showed that the prognosis of positive patients with stump cancer was significantly lower than that of negative patients, but stump cancer did not affect local anastomotic healing.