摘要
目的总结手术切除的723例食管癌贲门癌病例,对手术方式及术后并发症进行比较探讨。方法分别采用左胸颈二切口、左胸切口主动脉弓上吻合、左胸切口主动脉下吻合、右胸腹颈三切口4种方式行食管癌及贲门癌切除术。结果①左胸颈二切口全胃食管床移植,手术简便安全,并发症少。②左胸切口主动脉弓上吻合,手术复杂,并发症最多。③左胸切口主动脉弓下吻合,手术简便安全并发症最少。④右胸腹颈三切口手术并发症较多。结论建议食管上段癌手术选择右胸腹颈三切口方式,中段癌选择左胸颈二切口,下段癌及贲门癌选择主动脉弓下吻合,尽量避免主动脉弓上吻合。
Objective To sum up 723 cases of the esophageal cancer and cardiac cancer. Compare and probe the operation way and postoperative complications. Methods Adopt the four following operation methods separately ： two notches of left chest neck, inosculation on the arch of aorta of left chest notches, inosculation under the aorta of left chest notches, and three notches on the right chest belly neck. Results ① The operation of two notches on the left chest neck for the transplant of stomach esophagus is simple and safe with the fewer complications. ② The operation of inosculation on the arch of aorta of left chest notches is complicated with the most complications. ③ The operation of inosculation under the aorta of left chest notches is also simple and safe with the fewest complications. ④ The operation of thee notches on the right chest neck has more complications. Conclusion Suggest adopting the fourth operation way to treat the upper esophageal cancer, the first one for the middle esophagus, and the third way for the lower esophageal cancer and cardiac cancer. Avoid adopting the second way.
出处
《临床和实验医学杂志》
2006年第4期358-359,共2页
Journal of Clinical and Experimental Medicine
关键词
手术方式
并发症
食管癌
贲门癌
Operation way
Complications
Esophageal cancer
Cardiac cancer
