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作者自1982～1988年,对114例食管中段癌(包括中上段癌)经左胸或右胸切除全胸段食管,食管近端袖状切除,与胃大弯行颈部吻合术。以探讨合理的食管切除长度,有效的预防吻合口狭窄及吻合口瘘,降低手术死亡率,提高外科治疗效果。临床观察本术式效果良好,现根据资料作以报道。临床资料本组114例,男98例(85.9％)、女16例(14.1％),年龄30～70岁,病变长度<4cm的13例,4～5cm的52例,>6cm的49例。临床病理分期:Ⅱ期17例(14.9％),Ⅲ期89例(78.1％),Ⅲ～Ⅳ期8例(7％)。
From 1982 to 1988, the authors performed 114 cases of middle esophageal cancer (including upper-middle-stage cancer) by resection of the full-thorax esophagus, proximal esophageal sleeve-like resection, and large-circle neck anastomosis via left or right chest. To explore a reasonable length of esophagectomy, effectively prevent anastomotic stenosis and anastomotic leakage, reduce surgical mortality and improve surgical treatment. The clinical observation of the surgical effect is good, now based on data for reporting. The clinical data of this group consisted of 114 patients, 98 males (85.9%), 16 females (14.1%), aged 30-70 years, 13 cases with lesion length <4cm, 52 cases with 4-5cm, and 49 cases with >6cm. Clinical and pathological staging: 17 cases (14.9%) in stage II, 89 cases (78.1%) in stage III, and 8 cases (7%) in stage III-IV.