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目的探讨同时性食管及食管胃交界区重复癌的诊断及外科治疗。方法回顾性分析2006年1月～2012年9月8例同时性食管及食管胃交界区重复癌患者的临床资料。结果 8例患者中,4例行经左胸食管及近端胃部分切除,胃食管吻合术;2例行腹胸联合切口食管部分切除、全胃切除空肠-食管Roux-en-Y吻合术;1例行食管大部切除、近端胃切除,结肠食管-残胃间置术;1例行剖腹探查术。8例患者均顺利度过围手术期,无围手术期死亡及严重并发症发生。结论 8例食管及食管胃交界区重复癌患者术前均接受胃镜检查确诊。外科手术是食管及食管胃交界区重复癌患者安全有效的治疗方法。
Objective To investigate the diagnosis and surgical treatment of recurrent esophageal and esophageal junction cancer. Methods The clinical data of 8 patients with recurrent esophageal and esophageal-gastric junction cancer from January 2006 to September 2012 were retrospectively analyzed. Results Of the 8 patients, 4 cases underwent left gastro-esophageal and proximal partial gastrectomy and gastro-oesophageal anastomosis. 2 cases underwent esophageal partial abdominal resection and total jejunal-esophageal Roux-en-Y anastomosis. 1 case of esophageal resection, proximal gastrectomy, colon esophageal-gastric placement; 1 case of laparotomy. All 8 patients underwent perioperative management without perioperative death and serious complications. Conclusion 8 cases of esophageal and esophageal junction repeat cancer patients were diagnosed by gastroscopy. Surgery is a safe and effective treatment for patients with esophageal and esophageal and gastric re-junction cancer.