Biomedical subjects

L F Shao

Publications and source records attributed to L F Shao.

14 recordsLinked to original sources

PubMed1994

[Dilatation of stricture of anastomosis after reconstruction of esophagus].

This article reports the experience of the esophagus dilating technique in the treatment of 658 cases of postoperative anastomotic stricture for esophageal cancer and cardiac cancer during the period from May 1983 to May 1993, being delated add up to 3240 times with total effective rate 96.5%, among them 61.6% of the cases less than five, 84.5% of the cases less than ten. Of them, 27 cases (4.1%) had postoperative complications, of which the main ones were esophagus perforation 8 cases (1.2%), hemorrhage of anastomotic stoma 4 cases (0.6%), mediastinitis 1 case (0.2%) and loca trauma 14 cases (2.1%). The operative indication, surgical technique and complication were discussed.

Adult↗

PubMed1993

[Long-term results of surgical resection of early esophageal and cardiac carcinomas].

204 patients with early esophageal and cardiac carcinomas were treated surgically. The survival rate of 5, 10, 15, 20 and over 25 years was 92.6%, 71.6% 62.7%, 50.9% and 48.0% respectively. Follow-up for 10-26 years showed that 88 patients died (13 lost to follow-up). Recurrent esophageal carcinoma accounted for 29.5% (26 Patients) and carcinoma of the second organ 21.6% (19). In this group, 4 patients with early infiltration carcinoma died from extensive metastasis after operation and 88.4% early esophageal carcinoma showed multiple foci. We consider that the principles for radical resection should also be followed for early esophageal carcinoma.

Adult↗

PubMed1989

Results of surgical treatment in 6,123 cases of carcinoma of the esophagus and gastric cardia.

Six thousand one hundred twenty-three cases of carcinoma of the esophagus and gastric cardia were treated surgically from 1965 to 1985. Overall resectability was 89.9%. Postoperative mortality was 3%, and incidence of postoperative complication, 10.3%. Follow-up rate was 91.3%, with 5 year survival of 36.8% (esophageal nearly twice that of gastric cardia), and 10 year survival of 17.2%. Factors affecting long-term survival were clinicopathologic staging and preoperative irradiation. Early discovery and timely treatment are the key to high resectability and improved long-term survival. More efficacious combined therapies are needed for the predominant late cases. We propose more radical resection because of the multifocal tendency of esophageal and extensive submucosal infiltration of cardia carcinoma. Continuing refinements of surgical technique helped to reduce postoperative leakage and structure.

Adult↗

PubMed1989

[Diagnosis and surgical treatment of early esophageal carcinoma--analysis of 7 cases].

Misdiagnosis and negligence are common in the diagnosis of early esophageal carcinoma because of the minute lesion, mild symptoms and faulty examination. Analysis of 7 cases showed that the symptoms, cytologic, X-ray and endoscopic examinations are all very important. They can be used to check the findings of one another and none of them should be neglected or over-emphasized. Negative result of one cannot refute the positive findings of the others. Multi-focal tendency of esophageal carcinoma makes pan-esophagectomy advisable. Our experiences show that the diagnosis should be established by two cytological check up and the site of lesion determined with endoscopic examination or collected cytologic specimens at different levels of the esophagus. Supplemental X-ray findings and clinical symptoms can be helpful and careful inspection of the specimen during operation is necessary. Three of these 7 patients survived free of disease for 7,8 and 9 years, respectively. One patient died of fatal diarrhea 4 years after operation. The rest 3 died within 2 years of metastasis.

Carcinoma, Squamous Cell↗

PubMed1988