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目的 :探讨食管癌根治性放疗后复发病例手术治疗问题。方法 :1983年 1月至 1995年 10月间 ,对4 8例食管癌根治性放疗后复发病例施行手术治疗 ,手术以左侧进胸胃代食管弓下吻合 ,二切口左侧进胸胃代食管颈部吻合及三切口右侧进胸胃或结肠代食管颈部吻合完成。结果 :手术切除率 79.2 % ,手术死亡率 12 .5 % ,术后并发症率 3 5 .4 %。最常见的并发症为吻合口瘘。切除组术后 1,3 ,5年生存率分别为 65 .8%、2 8.9%、18.4 %。结论 :对食管癌根治性放疗后复发的手术适应证应严格掌握 ,术中吻合口应建立在放疗野之外
Objective: To investigate the surgical treatment of recurrent cases of esophageal cancer after radical radiotherapy. Methods: From January 1983 to October 1995, surgical treatment was performed on the relapsed cases after radical radiotherapy in 44 cases of esophageal cancer. The operation was performed with a left side into the thoracic esophagus and an esophageal arch anastomosis. Two incisions were performed on the left side into the thoracic stomach. Esophageal neck anastomosis and three incisions into the thoracic stomach or colon replacement esophagectomy cervical complete. Results: The resection rate was 79.2%, the operative mortality was 12.5%, and the postoperative complication rate was 35.4%. The most common complication is anastomotic leakage. The 1, 3, and 5-year survival rates of the resection group were 65.8%, 28.9%, and 18.4%, respectively. Conclusion : The indication for recurrence after radical radiotherapy for esophageal cancer should be strictly controlled. Anastomotic stoma should be established outside the field of radiotherapy during operation.