中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2015年
12期
75-76
,共2页
食管癌%肝硬化%手术治疗
食管癌%肝硬化%手術治療
식관암%간경화%수술치료
Esophageal cancer%Liver cirrhosis%Surgical treatment
目的 探讨食管癌伴肝硬化的手术治疗指征、方法和围术期治疗.方法 回顾分析解放军第113医院胸外科食管癌伴肝硬化手术治疗12例患者的临床资料.肝功能child分级:A级11例,B级1例.左进胸食管癌手术11例,其中弓下吻合9例,弓上吻合3例,同期行脾脏切除8例,胸腔镜辅助食管癌根治术1例.结果 12例食管癌伴肝硬化手术患者痊愈出院,术后胸腔引流液明显增多.结论 食管癌合并肝硬化患者,肝功能child A级首先考虑手术治疗,B级要慎重.合并脾功能亢进者同期行脾脏切除,处理好围术期能减少手术并发症.
目的 探討食管癌伴肝硬化的手術治療指徵、方法和圍術期治療.方法 迴顧分析解放軍第113醫院胸外科食管癌伴肝硬化手術治療12例患者的臨床資料.肝功能child分級:A級11例,B級1例.左進胸食管癌手術11例,其中弓下吻閤9例,弓上吻閤3例,同期行脾髒切除8例,胸腔鏡輔助食管癌根治術1例.結果 12例食管癌伴肝硬化手術患者痊愈齣院,術後胸腔引流液明顯增多.結論 食管癌閤併肝硬化患者,肝功能child A級首先攷慮手術治療,B級要慎重.閤併脾功能亢進者同期行脾髒切除,處理好圍術期能減少手術併髮癥.
목적 탐토식관암반간경화적수술치료지정、방법화위술기치료.방법 회고분석해방군제113의원흉외과식관암반간경화수술치료12례환자적림상자료.간공능child분급:A급11례,B급1례.좌진흉식관암수술11례,기중궁하문합9례,궁상문합3례,동기행비장절제8례,흉강경보조식관암근치술1례.결과 12례식관암반간경화수술환자전유출원,술후흉강인류액명현증다.결론 식관암합병간경화환자,간공능child A급수선고필수술치료,B급요신중.합병비공능항진자동기행비장절제,처리호위술기능감소수술병발증.
Objective To study the surgical indication,methods and perioperative treatment of esophageal cancer with liver cirrhosis.Methods The clinical data of 12 cases of esophageal cancer with liver cirrhosis were analyzed retrospectively.Eleven patients were classified as grade A and one patient as grade B by child gradation.There were 11 cases with esophageal cancer underwent a left transthoracic,below aortic arch in 9 cases,above aortic arch in 3 cases among those patients,8 cases underwent splenectomy during the operation,1 case underwent thoracoscopic surgery.Results All the patients in 12 cases of esophageal cancer with liver corrhosis were cured.The fluid of chest drainage were markedly increased after operation.Conclusions The surgical treatment for esophageal carcinoma with liver cirrhosis is the first choice for grade child A,but for child B the treatment should be seriously considered.Patients with hypersplenism should undergo splenectomy at operation,and perioperative management should be addressed to reduce operative complications.
