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Blunt esophageal denudation without thoracotomy in the treatment of cervical esophageal carcinoma with laryngeal function preservation
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF GASTROINTESTINAL SURGERY
- Issue:
- 2
- DOI:
- 10.3760/cma.j.issn.1671-0274.2007.02.006
- Key Word:
- 食管肿瘤,颈段;食管剥脱术;食管成形术
Abstract： 目的 探讨保留喉功能的非开胸食管钝性剥脱术治疗颈段食管癌的临床经验.方法 总结分析1997年8月至2005年11月间,采用保留喉功能非开胸食管钝性剥脱术对28例颈段食管癌患者进行治疗的临床资料.结果 28例患者术前均确诊为颈段食管鳞状细胞癌.其中12例单纯接受手术治疗(单纯手术组),16例术前或术后接受放疗(综合治疗组).治疗期间,全组无1例发生大出血、气管撕裂及围手术期死亡;6例(21.4%)出现并发症,其中吻合口瘘2例,喉返神经损伤4例.全组患者5年总体生存率50.3%;单纯手术组5年生存率25.7%,综合治疗组5年生存率66.1%;综合治疗组明显优于单纯手术组(χ2=4.07,P=0.0438).结论 保留喉功能的非开胸食管钝性剥脱术治疗颈段食管癌是可行的,联合放射治疗可以明显提高患者的术后生存率.
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