摘要
目的比较经胸和经腹入路治疗贲门癌的临床效果。方法经胸入路65例(经胸组),均行左后外侧切口经6、7肋间进胸手术;经腹入路47例(经腹组),行经腹贲门癌根治术。结果两组手术时间、术中出血量比较无差异。经腹组上切缘癌残留率达25.5%(12/47),明显高于经胸组的1.5%(1/65),P<0.01。两组无围术期死亡,近期并发症无差异。经胸组、经腹组获随访人数分别为58例和42例,反流性食管炎的发生率分别为13.8%(8/58)vs.31.0%(13/42),吻合口狭窄分别为5.2%(3/58)vs.21.4%(9/42),差异显著(P<0.05);1,3,5年生存率分别为56.9%vs.52.4%,41.4%vs.35.7%,31.0%vs.28.6%,无明显差异(P>0.05)。结论经胸入路手术治疗贲门癌具有手术彻底、术后并发症少的优点,值得推广应用。
Objective To explore the optimal surgical approach for carcinoma in the gastric cardia.Methods 112 cases of cardia cancer were analyzed retrospectively.The cases were divided into two groups according to the surgical approaches,which was the transthoracic group(65 patients)and transabdominal group(47 patients).Results The operations were accomplished without death in all patients.It showed the significant difference(P<0.01)between the transthoracic group and the transabdominal group of the cancer residue...
出处
《中国现代手术学杂志》
2009年第6期439-441,共3页
Chinese Journal of Modern Operative Surgery
关键词
胃肿瘤
贲门
sstomach neoplasms
cardia
