双原发食管癌肺癌同期手术切除的疗效及安全性分析

目的：探讨同期手术切除双原发食管癌肺癌的临床疗效及安全性。方法：7例经病理确诊的双原发食管癌肺癌患者均行同期食管癌、肺癌根治术,观察临床疗效及手术安全性。结果：7例患者中男性6例,女性1例,平均年龄（61±7.26）岁。术前平均FEV1为（2.50±0.63）L,平均FEV1/FVC为（84.18±18.74）%,平均LVEF为（64.83±4.02）%。7例患者均顺利完成同期食管癌根治术和肺切除术,其中经上腹、右胸两切口手术5例,经左胸一切口手术2例,手术切口选择由肺部肿瘤所在部位决定,术中平均出血量（157.14±53.45）mL。7例患者术后均恢复良好,无气管-食管瘘、支气管胸膜瘘等手术...

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Bibliographic Details
Published in中国临床医学 Vol. 24; no. 2; pp. 269 - 271
Main Author 蒋家好 卢春来 袁云锋 古杰 胥丰恺 葛棣
Format Journal Article
LanguageChinese
Published 复旦大学附属中山医院胸外科,上海,200032 2017
Subjects
双原发癌
同期手术
安全性
安全性
双原发癌
同期手术
simultaneouresection
synchronouprimarcancer
safety
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ISSN1008-6358
DOI10.12025/j.issn.1008-6358.2017.20160957

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Summary:目的：探讨同期手术切除双原发食管癌肺癌的临床疗效及安全性。方法：7例经病理确诊的双原发食管癌肺癌患者均行同期食管癌、肺癌根治术,观察临床疗效及手术安全性。结果：7例患者中男性6例,女性1例,平均年龄（61±7.26）岁。术前平均FEV1为（2.50±0.63）L,平均FEV1/FVC为（84.18±18.74）%,平均LVEF为（64.83±4.02）%。7例患者均顺利完成同期食管癌根治术和肺切除术,其中经上腹、右胸两切口手术5例,经左胸一切口手术2例,手术切口选择由肺部肿瘤所在部位决定,术中平均出血量（157.14±53.45）mL。7例患者术后均恢复良好,无气管-食管瘘、支气管胸膜瘘等手术相关严重并发症及死亡病例,平均术后住院时间为（11.70±1.98）d。结论：同期手术切除并不增加双原发食管癌肺癌患者的手术相关并发症,是此类患者较为安全的治疗方式,术前良好的心肺功能可能是影响手术安全性的关键因素。
Bibliography:31-1794/R
synchronous primary cancer; simultaneous resection; safety
JIANG Jia-hao,LU Clum-lai,YUAN Yun-feng,GU Jie,XU Feng-kai,GE Di（Department of Thoracic Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China）
Objective： To investigate the safety of simultaneous resection of patients suffering with synchronous primary esophageal carcinoma and primary lung cancer. Methods： Seven patients meeting the following diagnostic criteria： histologically. All patients underwent radical resection of esophageal carcinoma, and simultaneously underwent radical resection of lung cancer. Surgical effect and sufety were observed. Results ： There were 6 male patients and 1 female patient in all the 7 patients. The mean age was （61 ±7. 26） years old. The average preoperative FEVi wa s （2. 50 ± 0. 63） L,the average FEVi / FVC was （84. 18 ± 18. 74） %, and the mean LVEF was （64. 83 ±4. 02） %. All of the 7 patients successfully underwent radical resection for esophageal carcinoma and pneumonectomy. The upper abdomen a
ISSN:1008-6358
DOI:10.12025/j.issn.1008-6358.2017.20160957