Esophageal cancer combined with gastric cancer residual esophageal surgery
10.3760/cma.j.issn.1001-4497.2017.08.011
- VernacularTitle:食管癌合并胃癌或胃代食管手术
- Author:
Gang SUI
1
;
Zhiqiang ZOU
;
Lei YUAN
;
Fengbiao HU
;
Shining XU
;
Xiuxin MO
Author Information
1. 250031,济南军区总医院胸外科
- Keywords:
Esophagus carcinoma;
Stomach carcinoma;
Residual stomach;
Subtotal gastrectomy;
Gastroesophagostomy
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2017;33(8):499-501
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the feasibility of gastroesophagostomy when patients with esophagus carcinoma com bined with stomach carcinoma.Methods In March 2011 to May 2016,our department completed with the method of genera tion of esophagus stomach in the treatment of esophageal cancer merger 18 cases of gastric cancer patients.Age 52-67,16 ca ses of esophageal lesions located in the middle section,2 cases located in the chest.4 cases were gastric lesions located in the proximal stomach,14 cases were located in the distal stomach Four kinds of surgical methods can be chosen from.Proximal or distal stomach could be used to replace esophagus and the blood supply came from left gastric artery or right gastroepiploic artery.Stomach tissue separation and reverse gastric tube were used if the length of stomach was insufficieut.Results When resection of esophageal and gastric carcinoma were accomplished simultaneously,residue stomach can be used as a replacement of esophagus if patients were rigidly selected.Conclusion Residue stomach was a good substitute after radical resection of esoph agus and gastric dual-source carcinoma.Patients chosen and surgery design were both important.
