摘要
目的探讨经右胸、腹部和颈部三切口食管癌切除术的手术治疗适应证及并发症的防治。方法回顾性分析420例右胸、腹部和颈部三切口食管癌切除术的临床资料。结果术后痊愈出院415例,临床治愈率99·81%,围手术期死亡5例(1·19%)。术后病理证实淋巴转移者188例,总转移率为44·76%,分组标记证实颈、胸、腹三组淋巴结转移分别为20例(4·76%)、176例(41·90%)、88例(20·95%)。吻合口瘘16例(3·80%)。326例术后随访率90·95%,总的3、5年生存率分别为193/312例(61·85%)、75/216例(34·72%)。结论右胸、腹部及右颈部三切口食管癌切除术具有食管癌病灶切除彻底,可同时清除颈、胸、腹三组淋巴结,严重并发症少等优点。
Objective To discuss the indication, the prevention and treatment of complications of the esophagectomy through eervico-right thoracic-abdomlnal triple incision. Methods 420 eases of esophageal carcinoma were analyzed retrospectively. Results The success rate of this procedure was 99.81%, and 5 cases died postoperatively,the morality was 1.19 %. Lymph node metastases were presenting in 188 cases. The gross rate of the lymph node metastasis was 44.76 % , the rate of the lymph node metastasis in neck, chest and abdomen were 4.76 % , 41.90% and 20, 95%. The occurrence rate of the anastomose leakage was 3.80%. 326 cases were followed up （ 90.95 % ）. The overall 3-, 5- years survival rate were 61,85 % （ 193/312 cases） and 34.72 % （ 75/216 cases）. Conclusion The advantages of this approach are relatively radical resection, less severe complications.
出处
《中国基层医药》
CAS
2006年第7期1084-1085,共2页
Chinese Journal of Primary Medicine and Pharmacy
关键词
食管肿瘤
食管切除术
Esophageal neoplasms
Esophagectomy
