对于患有初级食道和肺癌的患者的单阶段手术程序
Jiang Lianyong1, Hu Fengqing1, Xie Xiao1
1Department of Cardiothoracic Surgery, Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, China.
对初级食道癌和肺癌同时进行手术是安全的,也是可行的. 与分叶切除相比,结合食管切除和分叶切除并没有增加并发症或死亡率.
科学领域:
- 胸部外科手术 胸部外科手术
- 手术瘤学手术瘤学
- 胃肠道手术 胃肠道手术
背景情况:
- 初级食道癌和肺癌的同时发生会给外科手术带来挑战.
- 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:
- 评估对患有原发性食道癌和肺癌的患者同时进行手术治疗的安全性和可行性.
- 为了比较食道切除术与分叶切除术与食道切除术与分叶切除术之间的结果.
主要方法:
- 在2016年至2022年期间,对21名接受食道和肺癌同时手术的患者进行了回顾性分析.
- 对接受食道切除和分叶切除 (EL组) 与食道切除和分叶切除 (ES组) 患者的结局进行比较.
主要成果:
- 所有的21个程序都成功完成,平均操作时间为251.19分钟.
- 肺部并发症发生在28.57%的患者中;其他并发症不常见.
- 与ES组相比,EL组没有观察到术后并发症或死亡率的显著增加.
结论:
- 对同步原发性食道和肺癌的单阶段手术程序是安全的和可行的.
- 同时的食管切除和叶片切除是一个可行的选择,在安全性和有效性方面与亚叶片切除相美.
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