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自1960年12月-1963年1月共2年又1个月时间对部份食管疾患患者施行结肠代食管术11例;本文详细地介绍手术方式,并着重对手术操作,手术适应症及病例选择加以讨论。临床资料本组11例中,男性8例,女性3例。年龄最小的33岁,最大的65岁,平均年龄为50岁。病种方面除食管瘢痕狭窄及胃贲门癌各1例外,食管癌9例。食管癌的临床病理分类属Ⅱ期的4例,Ⅲ期的5例。癌肿病理检查除胃贲门部癌肿属腺癌外,其余9例食管癌均属(?)状上皮细胞癌。手术径路方面1例食管瘢痕狭窄经胸骨后移植径路。1例胃贲门部癌肿经左胸腔后纵隔障径路。余9例食管癌均经右胸后纵隔障食管床移植径路。所有病例均在乙醚麻醉下进行手
From December 1960 to January 1963, a total of 11 cases of patients with esophageal disorders underwent colonic esophageal surgery for 2 years and 1 month; this article describes in detail the surgical approach, and focuses on the surgical operation, surgical indications and cases. Choose to discuss. Clinical data in this group of 11 cases, 8 males and 3 females. The youngest 33 years old, the largest 65 years old, the average age is 50 years old. In addition to esophageal scar stenosis and gastric cardia cancer, there were 9 cases of esophageal cancer. The clinicopathological classification of esophageal cancer belonged to 4 cases of stage II and 5 cases of stage III. In addition to adenocarcinoma of the adenocarcinoma of the gastric cardia, the remaining 9 cases of esophageal cancer were (?)-like epithelial cell carcinomas. One case of esophageal cicatricial stenosis was performed via a retrosternal posterior approach. One case of cancer of the gastric cardia was treated by a posterior medial posterior mediastinum. The remaining 9 cases of esophageal cancer were transplanted through the posterior right posterior mediastinal esophageal bed. All patients underwent ether anesthesia