摘要
目的 探讨经腹施行胃底贲门癌根治术式。方法 对 1997— 2 0 0 2年经腹部采用GF -I型吻合器进行食管胃吻合 3 5例 ,食管空肠吻合 12例进行回顾性分析。结果 根治性切除胃底贲门癌时 ,在切除肿瘤及其上方 6～ 7cm食管的同时 ,清除纵隔下部淋巴结。全组病例无手术死亡 ,无吻合口瘘 ,亦无食管切缘癌残留 ,1例出现吻合口狭窄。并发症低于开胸手术。结论 经腹行胃底贲门癌根治术食管胃 (空肠 )机械吻合术 ,操作简便 ,术野暴露良好 ,创伤及生理扰乱较小 ,且便于扩大腹部淋巴结清除范围。
Objective To evaluate a surgical approach for transabdominal intramediastinal cardia carcinoma.Methods We retrospectively analyzed 47 patients undergoing transabdominal intramediastinal esophagogastrostomy in 35 cases and esophagojejunostomy in 12 cases from 1997 to 2002 via the GF-I stapler.Results In radical resection of cardia tumor, the average length resected of the lower part of the esophagus was over 6-7cm.Intramediastinal lymph node was metastasized. There was no operative mortality and anastomotic leakage,no remnant carcinoma at the margin,only one case of anastomotic stenosis ,which was lower than those in the thoracotomy approach significantly.Conclusion The technique enables lymphadenectomy in the lower mediastinum and a sufficiently long enough resection of the esophagus. Transabdominal incision of the crus dextrum of the diaphragm makes a clear operative field for the purpose of radical operation for carcinoma of the gastric cardia.
出处
《河南肿瘤学杂志》
2004年第1期46-47,共2页
Henan Journal of Oncology
