CAJ | 학술논문

目的：探讨70岁以上患者颈段及胸上段食管癌的外科治疗。方法回顾性分析68例70岁以上颈段及胸上段食管癌患者的临床资料，全组患者均经左胸左颈二切口食管癌切除局部淋巴结清扫，食管-胃颈部吻合术。结果68例患者均顺利完成手术切除食管肿瘤，死亡3例，其余病例恢复良好出院，术后主要并发症为心、肺并发症及吻合口瘘。结论高龄高位食管癌手术难度大、术后并发症多，经左胸左颈二切口颈部吻合手术方式能缩短手术时间，减少术后并发症，提高手术疗效。
목적：탐토70세이상환자경단급흉상단식관암적외과치료。방법회고성분석68례70세이상경단급흉상단식관암환자적림상자료，전조환자균경좌흉좌경이절구식관암절제국부림파결청소，식관-위경부문합술。결과68례환자균순리완성수술절제식관종류，사망3례，기여병례회복량호출원，술후주요병발증위심、폐병발증급문합구루。결론고령고위식관암수술난도대、술후병발증다，경좌흉좌경이절구경부문합수술방식능축단수술시간，감소술후병발증，제고수술료효。
Objective To explore the surgical treatment of cervical and upper thoracic esophageal carcinoma in patients aged 70 or ol-der. Methods A retrospective analysis were made among 68 patients who were over 70 years old, and all the patients have undergone stom-ach esophagus cervical anastomosis through esophageal carcinoma excision and regional lymph node cleaning. Results All the 68 patients have completed the surgery successfully, and they have recoveried well except 3 cases of death. And the main postoperative complication was cardiopulmonary complication and anastomotic fistula. Conclusion Operative treatment of ercervical and upper thoracic esophageal carcino-ma for elderly patients is characterized with highly difficulty and more complications. Stomach esophagus cervical anastomosis through 2-inci-sion with left chest and left neck could simplify the operative procedure, decrease the postoperative complication and improve the curative effect.