What are the results of esophageal cancer surgery? What happens after surgery for esophageal cancer?

Surgery is the preferred method for early-stage esophageal cancer. Patients with esophageal cancer should undergo surgery as soon as they are physically able to do so**. According to the condition, it can be divided into two types: palliative surgery and ** surgery.

Palliative surgery is mainly used for patients who are unable to ** or after radiotherapy, in order to solve the difficulty of eating.

Esophagogastric diversion, gastrostomy, esophageal luminal tube, etc. **Sexual surgery depends on the location of the lesion and the specific situation of the patient. In principle, most of the esophagus should be removed, and the esophageal resection should be at least 5 cm away from the tumor.

The surgical resection rate of lower segment cancer was 90, that of middle segment cancer was 50, and that of upper segment cancer was 56 3 92 9 on average.

Surgery is the main way of esophageal cancer, some patients will have some complications of surgery, can be combined with the Chinese medicine ginsenoside rh2, reduce the complications, speed up the recovery of the body after surgery, have a certain anti-inflammatory and analgesic effect, there is already literature support, ginsenoside rh2 can inhibit the proliferation of esophageal cancer cells, block in the G0 G1 stage, and induce its differentiation. Ginsenoside Rh2 products (life protectan) are among the best.

At present, it is advocated that radiotherapy is the first choice for cervical and upper esophageal cancer, radiotherapy or surgery for middle esophageal cancer, and surgery is the first choice for lower esophageal cancer. Due to the difficulty and risk of surgery for cervical and upper esophageal cancer, especially for some elderly patients, the efficacy of middle esophageal cancer surgery and radiotherapy is not much different, and the overall prognosis is not much different, while the surgical resection rate of lower esophageal cancer is higher, so surgery is advocated.

Esophageal cancer is poorly differentiated and more malignant. No, I don't know whether the surgical resection is ideal, whether the lymph nodes have metastasized, whether there is metastasis in the distance, and what the physical condition is, all of which affect the survival of patients.

Surgical resection is the main method of esophageal cancer, and early resection can often achieve the best effect. In the last 20 years, there has been a great deal of progress in esophageal cancer surgery**.

The outcome of surgery for patients with esophageal cancer depends on a series of factors, such as the patient's own condition, whether there are complications after surgery, and whether it is early or advanced esophageal cancer. Generally speaking, if it is early esophageal cancer, the effect after surgery** is still very good, which can significantly improve the survival rate and quality of life of patients; If it is a patient with medium-stage esophageal cancer, or an older patient, then the effect of surgery** will be affected by many factors; If it is said that it is already an advanced stage of esophageal cancer or has metastasized, then surgery is generally useless, and palliative care and other methods can be used, but the effect is not very good, and the recovery is poor.

1. Postoperative oral hygiene.

The oral cavity is the first gateway of the digestive tract, and it itself is a site of bacterial growth, according to the literature: every 1 ml of saliva contains up to 109 bacteria. If you do not pay attention to the hygiene of the mouth after surgery, bacteria will enter the esophagus with saliva and cause infection of the anastomosis of the esophagus.

Therefore, it is very important for patients to have a clean and hygienic mouth after surgery. During the stay in the gastric tube, you should pay attention to brushing your teeth every morning and evening, and rinse your mouth three to five times from time to time with some mouthwash or light salt water; If you often feel dry mouth, you can also use light green tea or lemon water to rinse your mouth to reduce the feeling of dry mouth. Try not to swallow saliva or sputum containing a lot of bacteria before removing the gastric tube to reduce the infection of the esophageal anastomosis and prevent the occurrence of anastomotic leakage.

2. Exercise of upper limb function on the operative side.

Especially for some patients with long surgical incisions, because the upper limb on the affected side is in a state of suspension for a long time during the operation, and the surgical incision of thoracotomy cuts the trapezius muscle, serratus anterior muscle, etc., the patient generally feels soreness and numbness around the shoulder after waking up. Therefore, after the operation is fully awake, you can start to move the limbs, especially the upper limbs on the affected side, by flexing the fingers of the hand, forearm and massaging the muscles around the shoulder, which can reduce the soreness and numbness; Encourage the patient to use the affected hand to do some activities within his ability, such as wiping sputum, brushing teeth, washing and combing hair, etc.; With the recovery of physical strength, gradually increase the amount and range of activities, such as lifting the upper limb of the affected side over the head and neck, shoulder rotation movement, etc., but be careful not to tilt the head and neck and maintain the natural position; Avoid disuse muscle atrophy of the upper limb on the affected side due to long-term bed rest and fear of pain and fear of pain.

3. Eating procedures.

After esophageal cancer, the normal physiological state of the patient's digestive tract is changed, and the stomach is pulled up to the chest cavity to form the "thorax and stomach". The vagus nerve, which innervates gastric peristalsis, is severed, and the patient may not feel saturated and hungry after surgery; The gastroesophageal anastomosis does not have the function of the cardia sphincter, and it is easy to cause reflux of gastric contents when lying down, resulting in the occurrence of reflux esophagitis; The structure of the re-anastomotic esophagus is special and fragile, and if the dietary aspect is not properly handled, it will lead to postoperative anastomotic leakage or anastomotic stenosis.

Esophageal cancer is a very common malignancy of the digestive system. In general, surgery is required for early and mid-stage esophageal cancer**. After esophageal cancer surgery, it is mainly necessary to observe whether there is an anastomotic leak.

Generally, about a week after surgery, the anastomotic leak can be ruled out and the water can be tested. Later, gradually resume liquid diet, as well as semi-liquid diet, pay attention to eating small and frequent meals, and after surgery, according to the pathological situation, it is also necessary to cooperate with adjuvant radiotherapy, chemotherapy and other comprehensive **.

Generally, it can be started one month after surgery**.

In general, the **method commonly used by patients with early esophageal cancer is surgery**, and esophageal cancer experts emphasize that only if the physical conditions of esophageal cancer allow, can Mingxian surgery be actively taken**. According to the condition, it can be divided into two types: palliative surgery and ** surgery. Below, let's take a closer look at surgery** for esophageal cancer.

First of all, the ** sex surgery depends on the site of the lesion and the specific situation of the patient. In principle, most of the esophagus should be removed, and the esophageal resection should be at least 5 cm away from the tumor. The surgical resection rate of lower segment cancer is 90%, that of intermediate cancer is 50%, and that of upper segment cancer is average.

Secondly, palliative surgery is mainly for patients who are unable to ** in the advanced stage or after radiotherapy, and in order to solve the difficulty of eating, esophagogastric diversion, gastrostomy, and esophageal lumen tube are used. After surgery, the patient can eat or operate a nutrient tube to inject nutrients to maintain nutrition.

In addition, according to esophageal cancer experts from the Hospital of Henan Institute of Modern Medicine, the contraindications for esophageal cancer are: severe cardiopulmonary or liver and kidney insufficiency or cachexia that cannot tolerate surgery; Clinical X-ray and other examinations confirm that esophageal lesions are extensive and involve adjacent organs, such as trachea, lungs, longitudinal diaphragm, aorta, etc. Experts suggest that patients with esophageal cancer can choose Chinese medicine as an adjunct after surgery**.