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《CHINESE JOURNAL OF ONCOLOGY》 1995-02
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SURGICAL TREATMENT OF ESOPHAGEAL CARCINOMA COMPLICATED WITH PERFORATION ──A Report of Nine Cases

Zhang Dechao,Zhang Dawei, Zhang Rugang,et al Depertment of Thoracic Surgery, Cancer Hospital, Chinese Academy of Medical Sciences, Beijing 100021  
Abstract Malignant perforation in patients with esophageal carcinoma,a catastrophic life-threate-ning complication, is usually treated conservatively with very poor prognosis.From December1992 through November 1994.surgical resections was carried out in 9 patients with perforatedesophageal carcinoma. of these 9 cases,two recieved esophagogastrectomy alone and 7 receivedesophagogastrectomy with synchronous pulmonary resections of various types.One patient diedof anostomotic leakage on the 33rd postoperative da.Eight patients recovered uneventfully.Postoperative irradiation therapy was given to two patients:one in the third month due tomediastinal lymph node metastasis and the other is still being irradiated in the first month afteroperation. On follow-up,six patients had been surviving for 20,18,11,9.5,8.5 and 8 monthsafter operation,respectively. In this paper options of treatment,pre-operative diagnostic proce-dures, intra-operative judgement and post-operative management for the perforated esophagealcarcinoma are emphasized.The authors stress that the indication of extended operation for theesophageal carcinoma complicated with perforation should be further explored.
【CateGory Index】: R735.1
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