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本文报告1977年—1985年对300例食管癌和126例贲门癌进行手术治疗。总切除率为86.8％。(食管癌切除率为90.3％,贲门癌切除率为77.8％)。术后8例病人死亡,切除死亡率为2.02％。456例病人术后有63例发生并发症,发生率为13.9％。其中有吻合口瘘7例,乳糜胸5例,严重腹泻8例,肺炎6例及其它37例等。63例中55例治愈,8例死亡。作者对吻合口瘘、乳糜胸、严重腹泻等主要并发症的原因及防治进行了分析和讨论。
This article reports on the surgical treatment of 300 cases of esophageal cancer and 126 cases of cardiac cancers from 1977 to 1985. The total resection rate was 86.8%. (The resection rate of esophageal cancer was 90.3% and the resection rate of cardiac cancer was 77.8%). Eight patients died after surgery and the resection mortality rate was 2.02%. In 456 patients, postoperative complications occurred in 63 patients, and the incidence was 13.9%. Among them, there were 7 cases of anastomotic leakage, 5 cases of chylothorax, 8 cases of severe diarrhea, 6 cases of pneumonia and 37 cases of other cases. Of the 63 cases, 55 were cured and 8 died. The author analyzed and discussed the causes of the major complications such as anastomotic leakage, chylothorax, and severe diarrhea, and their prevention and treatment.