摘要
目的 :评价食管癌术后局部复发的再手术治疗作用。方法 :回顾性分析了 33例食管癌术后再次手术治疗的结果。结果 :平均复发时间 14个月。吻合口复发 2 0例 ,残留食管复发 5例 ,纵隔癌残留复发侵及胸胃 1例。2 1例 (6 2 % )于术后 2年内复发。根治性切除 2 0例 ,姑息性切除 6例。术后无瘤生存 1年内 6例 ,3年内 7例 ,7例无瘤生存 5年以上。结论 :首次手术应按外科肿瘤原则行扩大切除并提倡颈部吻合术。局部复发者经适当选择 。
Objective:To evaluate the therapeutic effect of reoperation on local recurrence of esophageal cancer.Methods:Thirty three patients with local recurrence of esophageal cancer were reoperated and analysed retrospectively.Results:The mean recurrence time was 14 months.It was found that anstomotic recurrence occurred in tweenty patients.Recurrence at the residual esophagus was 5 and mediastinal recurrence involving the intrathoracic stomach 1.Twenty one patients had local recurrence within 2 years after resection.Curative operation was performed for twenty patients and palliative operation for 6 patients.Six patients had tumor free time of less than one year,7 patients for 3 years and 7 patients survived for more than 5 years.Conclusion:The first operation should be performed on surgical principle of tumor,and extended esophagectomy with radical cervical dissection is recommended.Reoperation is the first choice for patients with local recurrence of esophageal cancer.
出处
《中国肿瘤临床》
CAS
CSCD
北大核心
2000年第8期594-595,共2页
Chinese Journal of Clinical Oncology
关键词
食管癌
局部复发
手术后
再手术
Esophageal cancer Local recurrence Reoperation
