Surgery for esophageal cancer, 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 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. **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. After the operation, it can be combined with traditional Chinese medicine life hormone to reduce the ** symptoms.

Surgery will generally have a faster effect, but after that, the possibility of taking some Chinese medicine like life care can inhibit the metastasis and spread of cancer cells and increase immunity.

Does the patient have metastases? If not, the patient's physical condition can also be operated, but it is still necessary to do a good job of prevention after surgery.

In the early stage of esophageal cancer, a comprehensive approach combining surgery, radiotherapy and chemotherapy, and traditional Chinese medicine should be used, and in the middle and advanced stages, traditional Chinese medicine should be conservative.

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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**.

It is divided into surgical**, radiology**, chemical**, and general**. Two or more simultaneous or sequential applications are called synthetic. The results showed that the effect of comprehensive ** was better.

1.Surgery**.

Surgery is the preferred method for esophageal cancer. Surgery may be considered if the patient is in good general condition, has good cardiopulmonary reserve, and has no obvious signs of distant metastases**. Generally, there is a high chance of resection with cervical cancer < 3 cm in length, upper thoracic cancer < 4 cm in length, and lower thoracic cancer <5 cm in length.

However, there are also cases where the tumor is not too large but has been tightly adhered to major organs, such as the aorta and trachea, and cannot be removed. For larger squamous cell carcinoma that is unlikely to be resected and the patient is in good general condition, preoperative radiotherapy can be used first, and surgery can be performed after the tumor has shrunk.

Contraindications to surgery: Poor general condition and cachexia. or those with severe heart, lung, liver, and kidney insufficiency. The lesion is extensive, and there are obvious signs of external invasion and perforation, such as hoarseness or esophageal tracheal fistula. There have been distant metastases.

2.Radiation**.

A combination of radiation and surgery** increases surgical resection rates and also improves long-term survival. After preoperative radiotherapy, it is more appropriate to rest for 3 to 4 weeks before surgery. Metal markers are made for residual cancer tissue that is incompletely resected during surgery, and postoperative radiotherapy is usually started 3 to 6 weeks after surgery.

Simple radiation** is mostly used for cervical and upper thoracic esophageal cancer, and the operation of such patients is often difficult, with many complications and unsatisfactory efficacy; It can also be used for patients with contraindications to surgery, the lesion time is not long, and the patient can still tolerate radiotherapy.

3.Chemistry**.

The combination of chemotherapy and surgery** or the combination of radiotherapy and traditional Chinese medicine** can sometimes improve the efficacy, or alleviate the symptoms and prolong the survival of esophageal cancer patients. However, it is necessary to check the blood picture and liver and kidney function regularly, and pay attention to drug reactions.

6. Prevention At the end of the 50s of the 20th century, China began to study the prevention and treatment of esophageal cancer, and established prevention and treatment research points in rural areas with high incidence areas. In the population of high-incidence areas, propaganda and esophageal cytology diagnosis methods were used to carry out general surveys, so as to achieve early detection, early detection, and increase the rate.

The method of esophageal cancer should be decided according to the condition, if the lesion is only in the mucosal epithelium, the lesion mucosa can be removed, if it is early, surgery can generally be taken, and the older body is weaker is not suitable for surgery, and traditional Chinese medicine can be used to regulate, because the risk of surgery will be far greater than the risk of surgery.

According to the Hong Kong Adventist Health article, radiotherapy and chemotherapy combined with tumor biology are the main methods for esophageal cancer in the middle stage, which can be applied to esophageal cancer at different pathological stages, and can achieve good results. Even for patients with advanced esophageal cancer, which is difficult to miss, chemoradiotherapy combined with tumor biology can be directly used for synthesis** to alleviate the pain of patients and enable patients to achieve long-term survival with tumors.

For esophageal cancer, after surgery, radiotherapy and chemotherapy routine, it can be seen that most patients have recurrence**, a large number of pathological reactions can not be controlled by Western medicine alone, and only a small part of Chinese medicine for esophageal cancer can not reach the deep soft tissue, and the desired effect cannot be achieved. After a large number of clinical cases, it has been proved that the meridian constitution tumor elimination method has obvious effects on esophageal cancer and other tumors.

Early esophageal cancer can be resected under gastroscopy, which can achieve the effect, and if it is advanced esophageal cancer, the methods include surgery, radiotherapy, chemotherapy and endoscopy.

First, surgery, the surgical resection rate of the esophagus can reach 80% to 90%, and early resection can often achieve the first effect, but most patients have entered the middle and advanced stages at the time of diagnosis, and even if the surgical resection rate is improved, the recovery effect is still not satisfactory.

Second, radiotherapy is mainly suitable for upper esophageal cancer, which is difficult to operate, and middle and lower esophageal cancer, which cannot be resected.

Third, chemotherapy, which is mainly administered within two to four weeks after esophageal cancer resection, is often used in combination with chemotherapy regimens.

Fourth, endoscopy is the preferred method for early esophageal cancer, including endoscopic mucosal resection and endoscopic ablation.

1.Surgery**.

Surgical resection is an option for esophageal cancer, and the choice of surgery depends on the location and size of the tumor, the surgeon's experience, and the purpose of the surgery.

2.Chemotherapy. Surgery can maximize remission when appropriate, and chemotherapy can prolong survival in some patients.

3.Radiotherapy. Extracorporeal beam radiation (radiotherapy) is usually administered as the main** method in patients who do not have a **surgical condition, including those with advanced stage.

4.Other palliative procedures.

Some other palliative measures include dilation, duct repair (STENT fixation membrane), and laser coagulation of intraluminal tumors.