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首页> 外文期刊>Surgery >Operative outcome of colon interposition in the treatment of esophageal cancer: a 20-year experience.
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Operative outcome of colon interposition in the treatment of esophageal cancer: a 20-year experience.

机译：结肠介入治疗食管癌的手术效果：20年的经验。

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BACKGROUND: In patients with esophageal cancer and a history of gastric surgery, colonic interposition is the treatment of choice. Our aim was to review our experience with this technique and to identify possible predictors of the clinical outcome. METHODS: Between 1986 and 2006, 43 patients underwent esophageal reconstruction accomplished by colon interposition in our surgical department. Data from these patients were collected consecutively and reviewed retrospectively. RESULTS: Colon interposition was performed isoperistaltically in 15 patients and was performed in 28 patients anisoperistaltically. In 18 patients, the right colon was used for interposition, whereas in 25 patients, the left colon was used. The mean survival time was 23+/-29 months. Artificial ventilation more than 24h, tumor differentiation grade III, the presence of major complications, and the presence of multivisceral resection had a significant negative influence on the operative outcome of colon interposition for esophageal replacement. CONCLUSION: Colon interposition for esophageal replacement provides a satisfactory operative outcome with high complication rates. Therefore, it should be reserved as a treatment of second choice for cases in which the stomach is not available.
机译：背景：在患有食道癌且有胃外科手术史的患者中，结肠介入治疗是首选。我们的目的是回顾我们在这项技术上的经验，并确定临床结果的可能预测因素。方法：在1986年至2006年之间，我们的外科部门对43例患者进行了通过结肠置入术完成的食管重建。这些患者的数据被连续收集并回顾。结果：结肠穿刺术是等位手术的15例和28例是不术的。在18例患者中，右结肠用于插入，而在25例患者中，左结肠使用。平均生存时间为23 +/- 29个月。超过24h的人工通气，III期肿瘤分化程度，主要并发症的存在以及多脏器切除术对结肠置入食管置换术的手术结局有重大负面影响。结论：结肠介入治疗食管置换术可提供满意的手术结果，并发症发生率高。因此，对于没有胃的情况，应保留第二选择的治疗方法。

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