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本文报告食管瘤切除术后随诊至死亡100例,术后复发表现为局部侵犯和远处转移的主要部位,依次为气(支气)管—肺占50%;淋巴结转移锁骨上36%、腹腔15%;血行转移肝24%。作者认为:要提高中晚期食管癌切除术后的长期生存率,应强调癌灶及区域淋巴结清扫以及尽可能行食管胃颈部吻合的重要性,也应配合放疗、化疗等综合治疗措施。
This article reports 100 cases of postoperative esophageal aneurysm resection to death, the recurrence of postoperative recurrence of local invasion and distant metastasis of the main site, followed by gas (bronchial) tube - lung accounted for 50%; lymph node metastasis 36% supraclavicular, Abdominal cavity 15%; hematogenous metastasis 24%. The authors believe that: to improve the long-term survival rate of advanced esophageal cancer after resection, should emphasize the importance of cancer foci and regional lymph node dissection and as far as possible esophageal and gastric neck anastomosis, but also with radiotherapy, chemotherapy and other comprehensive treatment measures.