摘要
目的探讨食管胃结合部肿瘤外科治疗的最佳手术径路。方法对我院2007年1月—2010年9月48例经腹膈肌开窗治疗食管胃结合部肿瘤进行总结分析。结果本组48例中,切缘无癌残留,切除淋巴结372枚,转移率为52.18%(194/372),其中腹腔淋巴结转移率为64.26%(31/48),胸腔淋巴结转移率为26.48%(13/48),未发生吻合口瘘、狭窄、肺部并发症,切口感染2例,腹腔淋巴瘘3例,左侧胸腔积液1例,无围手术期死亡。结论经腹膈肌开窗治疗食管胃结合部肿瘤是一种较理想的手术径路。
Objective To discuss the best surgical approach to the patients with Esophageal cancer stomach fringe. Methods From January 2007 to September 2010, The clinical data of 48 patients with Esophageal cancer stomach fringe were retrospectively analyzed. Results Among the 48 patients, without the carcinoma left in cutting edge, 372 absorbent glands were resected, The overall metastasis rate was 52. 18% （194/372） , of the total, metastasis rate was 64.26% （31/48） in abdominal cavity and was 26. 48% （13/48） in thoracic cavity. Complication of anastornotic fistula, narrow, pulmonary complications did not happen, the infection of abdominal incision happened for 2 cases, left pleural effussions happened for 1 case, there was no patients dead in the peroperative . Conclusion The abdominal diaphragmatic window treatment esophageal cancer stomach fringe is the proper surgical approach.
出处
《中国煤炭工业医学杂志》
2012年第2期201-202,共2页
Chinese Journal of Coal Industry Medicine
关键词
食管胃结合部肿瘤
外科治疗
经腹膈肌开窗
esophageal cancer stomach fringe
surgical therapy
abdominal diaphragmatic window treatment
