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1982年以来,我们手术治疗70岁以上食管癌、贲门癌患者36例,效果满意,现报告如下。 1.临床资料:36例患者均经食管钡餐、拍片及食管拉网确诊,其中男30例,女6例;年龄70～76岁。食管上段癌2例、中段18例、下段4例,贲门癌12M :病程54天至10个月,多为3～6个月。手术切除31例,贲门癌胃底转流1例,探查4例;食管胃颈部吻合18例,胸骨后吻合2例,左胸膜腔食管胃弓下吻合11例。 结果:临床治愈32例,术后并发症2例,乳糜胸1例,刀口感染1例,其中并发乳糜胸患者死亡1例。 病理诊断为鳞癌19例,腺癌13例,淋巴转移8例。手术切除者除1例上段癌切线残留癌外,其他未发现切缘癌细胞残留。
Since 1982, we have successfully treated 36 patients with esophageal or cardiac cancer above the age of 70 with satisfactory results. The report is as follows. 1. Clinical data: 36 patients were diagnosed by esophageal barium meal, film and esophageal pull, including 30 males and 6 females; aged 70 to 76 years old. The upper esophageal cancer was 2 cases, the middle segment was 18 cases, the lower segment was 4 cases, and cardiac cancer 12M: The duration was 54 days to 10 months, mostly 3 to 6 months. Thirty-one patients underwent surgical resection, 1 case of gastric cardioversion of cardia cancer, 4 cases of exploration, 18 cases of esophagogastric neck anastomosis, 2 cases of posterior sternal anastomosis, and 11 cases of left thoracic cavity esophagogastric anastomosis. RESULTS: Clinically cured 32 cases, postoperative complications in 2 cases, chylothorax in 1 case, knife-edge infection in 1 case, among whom 1 case died of concurrent chylothorax. Pathological diagnosis included 19 cases of squamous cell carcinoma, 13 cases of adenocarcinoma, and 8 cases of lymph node metastasis. Among the surgical resections, except for the residual cancer in the upper segment of the cancer in the upper segment, no residual marginal cancer cells were found.