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目的为进一步降低手术死亡率，探讨不同时期的食管癌手术死亡原因。方法1984年6月至lop年6月手术切除食管瘤3927例。将前7年和后6年分为A、B两组，对比两组的手术死亡率和死亡原因。结果A组的手术死亡率为3．82％，主要死亡原因是吻合口瘘，占死亡率的50．6％。B组的手术死亡率为2．74％，主要死亡原因是呼吸循环衰竭，占死亡率的87．0％。结论降低手术死亡率的关键是掌握好手术指征，70岁以上合并多脏器疾病的晚期患者要特别慎重。努力提高吻合技术，减少吻合口瘘的发生率。颈部吻合可降低吻合口瘘的死亡率，提高食管癌手术的安全性。
The purpose is to further reduce operative mortality and explore the causes of surgical death of esophageal cancer at different stages. Methods 3927 cases of esophageal cancer were resected from June 1984 to June lop. The first 7 years and the next 6 years were divided into A and B groups. The operative mortality and cause of death were compared between the two groups. Results The operative mortality rate in group A was 3.82%. The main cause of death was anastomotic leakage, accounting for 50.6% of the mortality rate. The operative mortality rate in group B was 2.74%. The main cause of death was respiratory and circulatory failure, which accounted for 87.0% of the death rate. Conclusions The key to reducing operative mortality is mastering the indications for surgery. Patients with advanced multi-organ disease over the age of 70 should be especially careful. Try to improve the anastomosis technique and reduce the incidence of anastomotic leakage. Neck anastomosis can reduce the mortality of anastomotic fistulas and improve the safety of esophageal cancer surgery.