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食管胃(超)胸膜顶吻合术治疗食管癌

  来源:120online      日期:2007-05-07
肿瘤防治杂志2000年第1期第17卷基础与临床研究作者:杨钟波 许建华 郭启祥单位:杨钟波 许建华 郭启祥(泉州市福建省泉州市福建医科大学附属二院肿瘤科 362000)关键词:食管肿瘤;治疗/外科手术;食管胃吻合术...

  【摘要】 目的:探讨食管癌合理的手术方式。方法:对食管中下段癌行食管部分切除,食管胃(超)胸膜顶吻合210例,与弓上吻合880例的资料进行回顾性对比分析。结果:两组术后吻合口瘘发生率基本相同,但胸膜顶组其他并发症少,残端癌发生率低。结论:胃食管(超)胸膜顶吻合术是治疗食管癌的理想术式。

  中图分类号:R735.1;R730.56    文献标识码:A

  文章编号:1009-4571(2000)01-0045-02

Suprathoracic esophagogastrostomy for treating patients with esophageal carcinoma 

YANG Zhong-bo XU Jian-hua GUO Qi-xiang

  (Department of Oncology,The Second Hospital Affiliated to Quanzhou Fujian Medical University,Quanzhou 362000)

  【Abstract】 Objective:To discuss the superior Surgical procedure of choice for the treatment of esophageal carcinoma. Methods:From April 1984 to December 1994 esophagectomy was performed in 1090 cases of esophageal canciaoma,of which 210 received suprathoracic anastomosis and 880 Supra-Aortic arch anastomosis.These were analyzed retrospectively.Results:The anastomotic leakage rates of the two groups were very close,but other complications and residual stump cancer were less in the group of suprathoracic anastomosis.Conclusions:Suprathoracic anastomosis is a reasonable surgical procdure of choice for the treatment of esophageal carcinoma.

  【Key words】 esophageal carcinoma;esophagogastric anastomosis

  1984年4月~1994年12月对中下段食管鳞癌施行食管部分切除,食管胃(超)胸膜顶吻合210例(以下称“胸膜顶组”),食管胃弓上吻合880例(以下称“弓上组”),将两组对比分析,结果报告如下。

  1 临床资料

  1.1 一般资料

  1.2 手术方法

  2 结果

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