带蒂结肠移植治疗有胃或食管手术史的食管癌患者的临床分析

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Abstract Objective To explore the feasibility and clinical outcome of pedicled colon transplantation in the treatment of esophageal cancer patients with a history of gastric or esophageal surgery. Methods A total of 112 esophageal cancer patients with a history of gastric or esophageal surgery in Beijing Tongren Hospital who underwent esophageal cancer resection and colon replacement surgery from March 1992 to March 2018 were collected. The perioperative complications and the postoperative quality of life was evaluated. Kaplan-Meier survival analysis was used to evaluate survival rates. The Log-rank test was used to compare the survival curves of patients in different TNM stages. Results The complication rate and the mortality rate within 30 days postoperation was 15.2% and 1.8%. The three year and five year survival rates of all patients were 51.35% and 23.53%, respectively. The survival rate of patients with stage Ⅰ + ⅡA was significantly higher than that of patients with stage ⅡB + Ⅲ (P = 0.003). Conclusion For patients with esophageal cancer with a history of esophagus or gastric surgery, diseased esophagectomy, colon instead of esophagus, or colon instead of esophagus and jejunum instead of stomach can be used for surgical treatment.

Key words： Esophageal cancer Esophagectomy Colon interposition Surgical history

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	YU Zhen YU Lei YU Tao ZHANG Baoxun YANG Xingguo DU Xin

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YU Zhen YU Lei YU Tao ZHANG Baoxun YANG Xingguo DU Xin. Clinical analysis of pedicled colon transplantation in the treatment of esophageal cancer patients with a history of gastric or esophageal surgery[J]. 中国医药导报, 2021, 18(17): 102-105.

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https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2021/V18/I17/102

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