摘要
为探讨经腹手术治疗贲门癌的临床价值,回顾性分析1998年～2003年38例经腹切开膈肌手术径路的临床资料,其中男31例,女7例;年龄38～76岁,平均年龄58岁。结果显示:手术根治率、围手术期病死率和患者呼吸道并发症的发生率分别为87％、0、和5％,术后平均恢复时间为11 d。通过分析认为,经腹食管胃吻合术,创伤及生理干扰较小;既能切除足够的食管,扩大淋巴结的清除范围,又可减少肺部并发症的发生,且如果患者的身体状况许可,就可施行联合脏器切除术,以达到根治的目的,对于高龄患者、心肺功能不全和有伴发症的患者是一个较好的手术方式。
The clinical data of 38 cases of cardiac carcinomas treated by operation through abdominal incision were retrospectively studied from 1998 to 2003, in onler to explore the clinical value of transabdominal approach of crus diaphragm. There were 31 males and 7 females with age ranged from 38 to 76 years old. The radical resectability rate, perioperative mortality, postoperative hospital days, respiratory complication rate were 87%, 0, 5%. Transabdominal approach of crus diaphragm enables lymphadenectomy within the lower mediastinum and a sufficiently long enough resection of esophagus. It is helpful to perform radical surgery of cardiac carcinomas. It can significantly reduce the incidence of respiratory complications in the perioperative. Local focus allowed by an en bloc combined resection should undergo gastrectomy with a combined resection of the involved organs. This incision could become eligible methods.
出处
《中华肿瘤防治杂志》
CAS
2006年第24期1909-1910,共2页
Chinese Journal of Cancer Prevention and Treatment
