在同步晚期食道癌和胃癌患者中使用结肠或结肠膜重建:来自单一机构数据库的回顾性研究
Rongrong Jiang1, Youbo Wang1, Juefeng Xu2
1Department of Cardiothoracic Surgery, Huashan Hospital, Fudan University, #12 Wulumuqi Rd. (M), Shanghai, 200040, P.R. China.
BMC surgery
|June 27, 2023
概括
同时切除晚期食道癌和胃癌是可行的. 当并发症发生时,建议尽可能进行彻底的手术,淋巴结转移是关键的生存因素.
科学领域:
- 手术瘤学手术瘤学
- 胃肠病学 胃肠病学
- 临床研究 临床研究
背景情况:
- 同步的晚期食道和胃癌是一个复杂的手术挑战.
- 评估联合手术方法对于患者的治疗结果至关重要.
研究的目的:
- 评估同时切除晚期食道癌和胃癌的可行性和有效性.
- 分析经过联合切除的患者的术后结果和生存率.
主要方法:
- 对16名患有同步食道状细胞癌 (ESCC) 和胃腺癌的患者的回顾性分析.
- 外科手术包括分全食道切除和全胃切除 (艾弗-易斯或麦克考恩方法).
- 重建使用了脚的骨移植或结肠插入.
主要成果:
- 没有记录住院死亡,但56.3%的患者经历了重大外科手术后并发症.
- 杰纳和结肠重建方法显示了类似的并发症率,整体存活率和无病存活率.
- 这两种癌症的淋巴结转移独立地预测了较差的整体存活率.
结论:
- 同步的食道和胃瘤需要考虑进行激进的手术治疗.
- 结合切除是高级同步食道癌和胃癌的选定患者的可行选择.
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