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目的探讨非开胸食管内翻拔脱术治疗食管上段癌的手术方法、适应证、术后并发症的发生及防治。方法非开胸食管内翻拔脱术治疗上段食管癌35例,行胃食管颈部端侧吻合。结果全组无手术死亡。25例随访结果:术后已生存5年及以上者8例,3年以上者7例,0.5～3年者5例;术后1～5年内死亡5例(3例死于癌转移,2例死于其他疾病)。结论该术式具有微创、术后恢复快等优点,尤其适用于食管上段早期病灶和心肺功能差的患者。
Objective To investigate the surgical methods, indications, postoperative complications and prevention and treatment of non-thoracic esophageal varus extraction in the treatment of upper esophageal cancer. Methods Thirty-five patients with upper esophageal cancer underwent esophageal varus extraction without thoracotomy and end-to-side anastomosis of the gastroesophageal neck. Results All patients died without surgery. 25 patients were followed up: 8 patients were survived for 5 years or more, 7 patients were more than 3 years, 5 patients were 0.5 ~ 3 years; 5 patients died after 1 ~ 5 years (3 died of cancer metastasis, 2 Case died of other diseases). Conclusion The technique has the advantages of minimally invasive and rapid postoperative recovery, especially for the early upper esophageal lesions and patients with poor cardiopulmonary function.