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目的 总结食管癌术后吻合口癌的再手术经验。方法 对 11例吻合口癌病人进行再手术 ,其中行结肠食管颈部吻合 5例、食管胃颈部吻合 3例、结肠食管胸顶吻合 1例、食管胃胸顶吻合 1例 ,探查 1例。结果 手术死亡 1例 ,术后的 1、3和 5年生存率分别为 77 8% (7/ 9例 )、44 4% (4 / 9例 )和2 2 2 % (2 / 9例 )。结论 对部分有适应证的病人 ,再手术是治疗食管癌术后吻合口癌的有效方法 ,早期发现和及时治疗能提高疗效
Objective To summarize the experience of reoperation of esophageal cancer after anastomotic cancer. Methods Reoperation was performed in 11 patients with anastomotic carcinomas, including 5 cases of colonic esophageal and cervical anastomosis, 3 cases of esophageal and gastric anastomosis, 1 case of colon esophageal anastomosis, 1 case of esophageal and gastric anastomosis, and 1 case of exploration. Results One patient died of surgery. The 1, 3 and 5 year survival rates were 77 8% (7/9), 44 4% (4/9) and 22 2% (2/9) respectively. Conclusion For some patients with indications, reoperation is an effective method for the treatment of esophageal cancer after anastomotic cancer, early detection and timely treatment can improve the efficacy