Perioperative management for 80 cases of esophageal cancer
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摘要: 目的:探讨食管癌的诊断、外科治疗及围手术期处理,提高术前诊断率、手术效果及减少并发症的发生率。方法:80例术前均经钡餐造影及纤维胃镜确诊为食管癌。均行手术治疗,并做好围手术期处理。结果:手术切除率97.5%(78/80);术后吻合口瘘6例,吻合口狭窄1例,吻合口出血2例,乳糜胸1例,肺部感染9例,术后1个月内未出现病死病例。结论:术前要行X线钡餐摄片与内镜活组织病理检查以减少漏诊率。积极做好围手术期处理,对增加患者肿瘤切除率、减少并发症及改善预后有较大帮助。Abstract: Objective:To explore the diagnosis,surgical treatment and preoperative management for esophageal cancer,improve preoperative diagnosis rate,curative effect and reduce complications.Methods:All of 80 cases were diagnosed by barium meal radiography and gastroscope,and all were treated with surgical methods and carefully preoperative management.Results:Surgical radical resection rate was 97.5%(78/80).Postoperative complications were including 6 cases of leakage,1 case of anastomotic stricture,2 cases of anastomotic bleeding,1 case of chylothorax and 9 cases of lung infection.There was no death case during one month after operation.Conclusions:Esophageal cancer must be diagnosed by barium meal and gastroscope,which can reduce the rate of missed diagnosis.Doing a good preoperative management is helpful to improve the resection rate of the tumor,reduce the complications and improve the prognosis of esophageal cancer.
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Keywords:
- esophageal neoplasms /
- carcinoma /
- preoperative treatment /
- complications
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[1] Yang L,Parkin DM,Li L,et al.Time trends in cancer mortality in China:1987-1999[J].Int J Cancer,2003,106(5):771-783.
[1] [2] Stoner GD,Gupta A.Etiology and chemoprevention of esophageal squamous cell carcainoma[J].Carcinogenesis,2001,22(11):1737-1746.
[2] [3] Han C,Qiao G,Hubbert NL,et al.Serologic association between human papillomavirus type 16 infection and esophageal cancer in Shaanxi Province,China[J].J Natl Cancer Inst,1996,88(20):1467-1471.
[3] [4] 彭仙娥,史习舜.食管癌病因学研究进展[J].肿瘤防治杂志,2003,10(9):891-899. [4] [5] Sarli D,Bona D,Abraham M,et al.Conservative and surgical treatment of esophago-gastric anastomotic leaks[J].Ann Ital Chir,2006,77(5):391-396.
[5] [6] 张晓,景维,靳超,等.食道贲门癌不同手术方式对照[J].中华胸心血管外科杂志,2002,18(6):361. [6] [7] Luketich JD,Alvelo-Rivera M,Buenaventura PO,et al.Mininally invasive esophagectomy:outcomes in 222 patients[J].Ann Surg,2003,238(4):486-495.
[7] [8] 林建清,许天文,郭启祥.食管胸下段癌淋巴结转移规律及清扫范围[J].华中科技大学学报:医学版,2005,34(6):789-791. [8] [9] 左中寅,付庆林.食管贲门癌术后吻合口瘘 50 例临床分析[J].医学信息:手术学分册,2007,20(7):617. [9] [10] 黎介寿.肠内营养:外科临床营养支持的首选途径[J].肠内与肠外营养,2003,10(3):129-130.
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