Ivor-Lewis食管癌切除术48例疗效分析
Results on Ivor-lewis Esophagecto my for 48 cases of carcinoma of esophagus
陈永红 1郭瑞 1Wang Xuefeng Gao jianlin
作者信息
摘要
本研究旨在评价Ivor Lewis食管切除术二野淋巴清扫治疗胸中下段食管癌的临床效果。方法选择2009年12月至2010年11月48例行Ivor Lewis食管切除术二野淋巴清扫的胸中下段食管鳞癌病例，观察清扫的淋巴结数目、手术切除率,术后并发症发生率等指标并进行分析。结果手术切除率为100%。全组有淋巴结转移35例,占72.9%。I期2例,Ⅱ期17例，Ⅲ期25例，Ⅳ期4例。术后并发症发生率为16.7%,全组无吻合口瘘,无术后死亡。结论 Ivor Lewis食管切除术二野淋巴清扫治疗胸中下段食管鳞癌是一项安全理想的术式。
Abstract
OBJECTIVE:This study was to assess the clinical outcomes of lvorLewis esophagectomy with two·field lymph node dissection for squamous cellcarcinoma of the middle and lower thoracic esophagus. METHODS:Clinical data of 48patients with squamous cellcarcinoma of the middle and Iower thoracic esophagus who underwent Ivor Lewis esophagectomy with two-field lymph node dissection from Dec.2009 to Nov.2010 were analyzed retrospectively. RESULTS:Thetotal resectability was 100%. Lymph node metastaseswere found in 35 cases (72.9%) .Of the 48 patients,2 were at stage I,17 at stage I ,35at stage I I. and 4 at stage IV. The morbidity ofpostoperative complications was 16.7% .Noanastomotic leakage, norpostoperative death .CONCLUSION: Ivor-Lewis esophagectomy with two·field lymph node dissection for squamous cellcarcinoma of the middle and lower thoracic esophagus is a safe operation.
关键词
食管肿瘤/外科手术/Ivor/Lewis食管切除术/二野淋巴清扫Key words
Esophageal neoplasmsurgical/operation/Ivor Lewis esophagectomy/Two field lymph node dissection引用本文复制引用
出版年
2014
NETL
NSTL
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