不开胸食管剥脱术在食管贲门癌手术治疗中的应用  

Application of esophagectomg without thoracotomy in surgical treatment of esophagocardial cancer

作　　者：饶华庚[1] 刘升[1] 王勤[1] 

机构地区：[1]江西医学院第一附属医院胸心外科,南昌330006

出　　处：《华中医学杂志》2003年第6期311-312,共2页Central China Medical Journal

摘　　要：目的　为扩大外科治疗食管癌治疗范围 ,减少合并症 ,提高手术效果。方法　对 5 2例食管、贲门癌患者进行了不开胸食管剥脱术 ,切除食管癌以胃作替代器官 ,行胃食管吻合术。结果　全组患者均获切除 ,无手术死亡 ,术后发生颈部吻合口瘘 3例 (5 .9% ) ,喉返神经暂时性麻痹 5例 (9.6 % )。结论　对于年龄较大、心肺功能较差、适当病期的肿瘤采用不开胸食管剥脱术治疗食管癌创伤小 ,并发症少 。Objective To extent the range of surgical therapy for esophageal carcinoma to decrease the complication of operation and to improve the effect of operation. Methods 52 patients with esophageal or esophagocardial carcinoma were subjected to esophagectomy without thoracotomy and esophagogastrostomy. Results No patients was died due to operation. The cervical fistula occurred in 3 cases ( 5.9%) and temporally recurrent nerve injury in 5 cases ( 9.6%) after operation. Conclusion The therapy of esophagectomy without thoracotomy has better effect and less complications to the old patients with abnormal heart and pulmonary functions.

关 键 词：食管剥脱术 不开胸 食管贲门癌 手术治疗 外科治疗 合并症 胃食管吻合术 

分 类 号：R735[医药卫生—肿瘤]