关键词: 结肠代食管术, 手术策略, 分期, 效果

Abstract: Objective To summarize the clinical experience of staging strategy in esophageal replacement with colon operation.
Methods Thirty-five patients who underwent esophageal replacement with colon were used staging surgery,20 patients were with esophageal cancer after subtotal gastrectomy,5 patients with recurring esophageal cancer after esophageal cancer,4 patients with thoracic stomach cancer,2 patients with tracheoesophageal fistula after esophageal carcinoma resection,2 patients with gastric necrosis after esophageal carcinoma resection,and 2 patients with esophageal fistula caused by esophageal chemical burn and scar stenosis.Among the above-mentioned patients,28 patients underwent esophageal lesion resection first,followed by elective esophageal replacement with colon;7 patients underwent esophageal replacement with colon first and then elective esophageal lesion resection.
Results All 35 patients were successfully performed staged surgery as planned,with the interval between operations ranging from 3 to 12 months.1 patient was with neck anastomotic fistula postoperative,1 with chylothorax and 2 with pulmonary infection,they were all cured after conservative treatment and discharged.After one year of follow-up,all the patients could eat normal diet and gained more weight than pre- operation.
Conclusion The staging surgical strategy applied to esophageal replacement with colon has good results and fewer complications.

Key words: esophageal replacement with colon, surgical strategy, stage, effect