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食管癌的外科治疗已有50多年历史,在临床上和实验研究上积累了大量经验。然而,尽管食癌的外科治疗效果是肯定的,但致今仍然存在病人就诊晚、手术切除率低、死亡率高以及远期生存率低等状况。致使食管癌的外科治疗尚未达到突破阶段,作者复习了有关影响食管癌切除率的文献,结合临床实践,对于如何提高切除率,作好术前估计问题,试图提出一些见解。
The surgical treatment of esophageal cancer has been more than 50 years old and has accumulated a great deal of experience in clinical and experimental studies. However, despite the positive effect of surgical treatment of cancer, there are still patients with late treatment, low surgical resection rate, high mortality, and low long-term survival. As a result, the surgical treatment of esophageal cancer has not yet reached a breakthrough stage. The author reviewed the literature on the resection rate of esophageal cancer, combined with clinical practice, and tried to provide some insights on how to increase the resection rate and make preoperative assessments.