Thoraco-laparscopic surgery for synchronous esophageal squamous cell carcinoma and adenocarcinonm at esophagogastric junction
10.3760/cma.j.issn.1007-631X.2019.04.003
- VernacularTitle:同时性食管和食管胃交界部重复癌的腔镜微创外科治疗效果
- Author:
Qiang ZHAO
1
;
Changhong LIAN
;
Yuan HE
;
Yingming SONG
;
Chao HAN
;
Huiqing ZHANG
;
Shuzhe XIE
;
Liang WANG
;
Qingfu LU
Author Information
1. 长治医学院附属和平医院普外科
- Keywords:
Esophageal neoplasms;
Esophagogatric junction;
Surgical procedures,minimally invasive;
Radiotherapy
- From:
Chinese Journal of General Surgery
2019;34(4):298-301
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate endoscopic surgical treatment of synchronous esophageal squamous cell carcinoma and adenocarcinonm at the esophagogastric junction.Methods The clinical data of 17 patients with synchronous esophageal squamous cell carcinoma associated with adenocarcinoma of esophagogatric junction between Jan 2010 and Jan 2017 were analyzed retrospectively.Results Among these 17 patients,9 patients underwent thoracoscopy and laparoscopy with partial resection of esophagus and proximal stomach,and gastroesophageal and neck anastomosis.3 patients underwent thoracoscopy and laparoscopy with partial resection of esophagus and proximal stomach,gastroesophageal intrathoracic anastomosis.Laparoscopic radical total gastrectomy combined with radiotherapy for esophageal cancer was performed in 5 cases.There was not perioperative death or serious complications.The cumulative survival rates of 1,3 and 5 years after surgery were 100％,42％ and 24％,respectively.Conclusion Thoracolaparscopic surgery combined with local radiation therapy is a safe and effective treatment for patients with synchronous esophageal squamous cell carcinoma and adenocarcinoma at esophagogastric junction.
