• 검색어에 아래의 연산자를 사용하시면 더 정확한 검색결과를 얻을 수 있습니다.
  • 검색연산자
검색연산자 기능 검색시 예
() 우선순위가 가장 높은 연산자 예1) (나노 (기계 | machine))
공백 두 개의 검색어(식)을 모두 포함하고 있는 문서 검색 예1) (나노 기계)
예2) 나노 장영실
| 두 개의 검색어(식) 중 하나 이상 포함하고 있는 문서 검색 예1) (줄기세포 | 면역)
예2) 줄기세포 | 장영실
! NOT 이후에 있는 검색어가 포함된 문서는 제외 예1) (황금 !백금)
예2) !image
* 검색어의 *란에 0개 이상의 임의의 문자가 포함된 문서 검색 예) semi*
"" 따옴표 내의 구문과 완전히 일치하는 문서만 검색 예) "Transform and Quantization"
쳇봇 이모티콘
ScienceON 챗봇입니다.
궁금한 것은 저에게 물어봐주세요.

논문 상세정보

중,하부 식도및 분문에 발생한 식도 종양의 위장을 이용한 식도재건술의 외과적 치험

The surgical experiences of esophageal reconstruction with stomach at the middle and lower esophageal and cardia cancer


The forty patients with carcirLoma of the esophagus or cardia seen at National Medical Center between November 1983 and April 1994 underwent surgical exploration. The esophagogastrectomy was carried out in 29 of 40 patients, one case through right thoracotomy, the others through left thoracotomy. Two patients underwent colon bypass surgeries due to upper esophageal cancer Transhiatal esop agectomy was performed In one case. Feeding gastrostomy or feeding jejunostomy were performed in 8 patients due to the advanced stage or malnutrition. In this report, we evaluated the long-term results in the 28 patients who underwent esophagogastrectomy for palliation through the left thoracotomy. There were 25 men(89%) and 3 women(11 %), and the mean age was 58.65$\pm$7.15 years(range, 46 to 73 years). The most frequent preoperative symptoms included dysphagia (22), weight loss (15), chest pain (6), vomiting (1), and hoarsness (1). Twenty-three patients had sqamous cell cancers of mid-and lower esophagus and five adenocarcionomas of cardia. One patient died in the hospital within 30 days of the op- eration for a hospital mortality rate of ).7%, Cause of death was sepsis due to anastomotic leakage. There were five additional complications in five patients; acute respiratory distress syndrome (1), post-op- erative bleeding (1), diaphragmatic hernia (1), acute renal failure (1) and late raft stenosis (1). The one year, 1틴o years, and three years acturial survival rate were 75.6$\pm$9.5%, 43.2$\pm$ 11.6%, 21.6: 10.5$\circledcirc$ re- spectively. The average survival was 21.8 months. The data from this study suggest that esophagogastrectomy through the left thoracotomy can achieve resonable long-term palliation for carci- noma of the esophagus. The operation can be performed with a low operative mortality and few serious postoperative complications.

저자의 다른 논문

참고문헌 (17)

  1. A safe, widely applicable, and expeditious form of palliation for patients with carcinoma of the esophagus and cardia , Ellis,F.H.;Gibb,S.P.;Watkins,E. , Ann Surg / v.198,pp.531-539, 1983
  2. EEA Stapler를 이용한 식도암 수술의 조기성적 , 조성래;허강배;김창수(등) , 대흉외지 / v.23,pp.309-315, 1990
  3. Transhiatal versus transthoracic esophagectomy for esophageal cancer , Pac,M.;Basglu,A.;Kocak,H.(et al.) , J Thorac Cardiovasc Surg / v.106,pp.205-209, 1993
  4. Experience with the end to end anastomotic stapling device , Shakinion,T.K.;Bowen,J.R.;Dorman,B.A.;Sodenberg,C.H.;Thompson,W.R. , Am J Surg / v.139,pp.549-553, 1980
  5. Eosphageal resection for cancer : the rationale of current practice , Wong,J. , Am J Surg / v.153,pp.18-24, 1987
  6. 식도암의 외과적요법에 관한 연구 , 김용진;김주현 , 대흉외지 / v.17,pp.819-828, 1984
  7. 식도암의 외과적 치료 , 박건주;조중구;김공수 , 대흉외지 / v.19,pp.407-411, 1986
  8. Palliative procedures for esophageal cancer , Orringer,M.B. , Surg. clin of North Am / v.63,pp.941-950, 1983
  9. 진행성 식도암의 Celestin's tube를 이용한 고식적 치료 , 백광제;선경;김요한(등) , 대흉외지 / v.18,pp.529-533, 1985
  10. The current role of partial esophagectomy in the surgical reatment of middle-and lower third esophageal carcinoma , Couraud,L.;Hafez-Alqudah,A.;Clerc,P.;Meriot,S.;Delarue,N.C.;Wilkins.Jr.E.W.;Wong,J. , International trends in general thoracic surgery. vol. 4. Esophageal cancer(1st ed) / v.,pp.181-185, 1988
  11. 식도암의 외과적 치료후 합병증 및 사망률에 대한 고찰 , 유회성;권오춘;남충희;유병화;김병렬;이정호 , 대흉외지 / v.17,pp.275-279, 1984
  12. L'oesophage du cancereux ORL , Reboud,E.;Pradoura,J.P.;Fuentus,P.;Giudicelli,R. , Sem Hop Paris / v.60,pp.839-847, 1984
  13. Three years experience with oesophageal stapling device , Behl,P.R.;Holden,M.P.;Brown,A.H. , Ann Surg / v.198,pp.134-136, 1983
  14. Transthoracic versus transhiatal esophagectomy: What difference dose it make? , Mark B. Orringer , Ann Thorac Surg / v.44,pp.116-118, 1987
  15. Carcinoma of the esophagus , Cukingnam,R.A.;Carey,J.S. , Ann Thorac Surg / v.26,pp.274-286, 1978
  16. Esophagectomy for carcinoma: Current hospital mortality and morbidity rates , Ellis,F.H.;Gibb,S.P. , Ann Surg / v.190,pp.699-705, 1979
  17. Extended esophagectomy in the management of carcinoma of the upper thoracic esophagus , Vineswaran,W.T.;Trastek,V.F.;Pairolero,P.C.;Deschamps,C.;Daly,R.C.;Allen,M.S. , J Thorac Cardiovasc Surg / v.107,pp.901-907, 1994

이 논문을 인용한 문헌 (0)

  1. 이 논문을 인용한 문헌 없음


원문 PDF 다운로드

  • ScienceON :

원문 URL 링크

원문 PDF 파일 및 링크정보가 존재하지 않을 경우 KISTI DDS 시스템에서 제공하는 원문복사서비스를 사용할 수 있습니다. (원문복사서비스 안내 바로 가기)

상세조회 0건 원문조회 0건

DOI 인용 스타일