CAJ | 학술논문

目的通过Ivor-Lewis手术治疗食管癌的近期临床疗效分析,探讨食管癌的淋巴结转移特点,并评价该术式治疗中下段食管癌的安全性及有效性.方法上海复旦大学附属肿瘤医院胸外科从2005年开始开展食管癌Ivor-Lewis手术,收集2007至2010年间404例食管癌患者Ivor-Lewis手术的情况,使用AJCC软件进行概率统计分析.结果 404例患者未出现术后院内死亡病例,共有89例患者(22.0％)出现了101例次的术后并发症.且当肿瘤原发灶尚处于T1时,就有可能出现转移.结论食管癌很易且较早发生淋巴结转移,其特点即是当肿瘤原发灶尚处于T1时,就有可能出现转移.研究结果倾向于根据患者转移淋巴结的解剖部位数能更好的预测患者的预后.总之IvorLewis手术+两野淋巴结清扫对于中下段食管癌来说是安全而有效的.
목적 통과Ivor-Lewis수술치료식관암적근기림상료효분석,탐토식관암적림파결전이특점,병평개해술식치료중하단식관암적안전성급유효성.방법 상해복단대학부속종류의원흉외과종2005년개시개전식관암Ivor-Lewis수술,수집2007지2010년간404례식관암환자Ivor-Lewis수술적정황,사용AJCC연건진행개솔통계분석.결과 404례환자미출현술후원내사망병례,공유89례환자(22.0％)출현료101례차적술후병발증.차당종류원발조상처우T1시,취유가능출현전이.결론 식관암흔역차교조발생림파결전이,기특점즉시당종류원발조상처우T1시,취유가능출현전이.연구결과경향우근거환자전이림파결적해부부위수능경호적예측환자적예후.총지IvorLewis수술+량야림파결청소대우중하단식관암래설시안전이유효적.
Objective To explore the short-term clinical efficacies of treating esophageal carcinoma surgically by Ivor-Lewis approach so as to summarize the characteristics of lymph node metastasis of esophageal cancer and evaluate the safety and effectiveness of surgical treatment of middle and lower esophagus.Methods Our hospital started the lvor-Lewis approach of esophageal cancer from 2005.During the period of 2007-2010,a total of 404 patients underwent the Ivor-Lewis approach for esophageal cancer.And the AJCC software was used for the probability statistical analysis.Results None of them died.But 89/101 patients (22.0％ ) had the occurrences of postoperative complications.And while still within the original stage of T1,tumor probably metastasized.Conclusion Esophageal cancer has an early tendency of metastasis.Based upon the anatomic locations of metastatic lymph nodes,it is better to predict the prognosis of patients.Thus the combined regimen of Ivor-Lewis surgery plus two-field lymphadenectomy is both safe and efficacious for esophageal carcinoma in the middle and lower segments.