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目的 :评价食管癌术后局部复发的再手术治疗作用。方法 :回顾性分析了 33例食管癌术后再次手术治疗的结果。结果 :平均复发时间 14个月。吻合口复发 2 0例 ,残留食管复发 5例 ,纵隔癌残留复发侵及胸胃 1例。2 1例 (6 2 % )于术后 2年内复发。根治性切除 2 0例 ,姑息性切除 6例。术后无瘤生存 1年内 6例 ,3年内 7例 ,7例无瘤生存 5年以上。结论 :首次手术应按外科肿瘤原则行扩大切除并提倡颈部吻合术。局部复发者经适当选择 ,外科手术仍是首选治疗方法
Objective: To evaluate the effect of reoperation on the local recurrence of esophageal cancer after operation. Methods: Retrospective analysis of the results of 33 cases of esophageal cancer surgery after reoperation. Results: The average recurrence time was 14 months. Anastomotic recurrence in 20 cases, residual esophageal recurrence in 5 cases, residual invasion of mediastinal cancer invading the thoracic stomach in 1 case. 21 cases (62%) relapsed within 2 years after operation. 20 cases of radical resection, palliative resection in 6 cases. There were 6 cases within 1 year after tumor-free survival, 7 cases within 3 years and 7 cases with tumor-free survival for more than 5 years. Conclusion: The first surgery should be based on surgical principles of tumor expansion and removal of the neck and promote anastomosis. Local recurrence by the appropriate choice, surgery is still the preferred treatment