左胸径路手术治疗胸中、上段食管癌  

The operation of route in left chest for the esophagus carcinoma in middle and upper segments of chest

作　　者：吴才[1] 章五一[1] 

机构地区：[1]广东省农垦中心医院心胸外科,湛江524002

出　　处：《中原医刊》2006年第1期11-13,共3页Central Plains Medical Journal

摘　　要：目的评估左胸径路手术治疗胸中、上段食管癌的临床价值。方法左胸径路纽与右胸径路组进行对比。结果左胸径路切除胸中、上段食管癌92例，手术时间3．00～6．40h，平均4．34h；术中出血200～1300ml，平均578ml；术后并发肺部感染20例（21.74％），伤口感染13例（14．13％），吻合口瘘5例（5．43％），乳糜瘘2例（2，17％），死亡3例（3．26％）。结论左胸径路对食管、胃的显露、游离较右胸径路满意；唯独奇静脉的出血处理没有右胸径路方便；左胸二切口较右胸三切口手术创伤小、出血少、手术时问缩短、术后并发症少，可作为一种常规的手术切口选择．Objective carcinoma in middle and right chest route. Results To evaluate the clinical value of the operation of left chest route in the esophagus upper segments. Methods To compare the group of left chest route with the group of Nintytwo cases of the left chest route group, operation time was 3.00 - 6.40h, mean time was 4.34h;the volume bleeding was 200 - 1300ml in operation, mean was 578ml;intercurrent lung infection appeared in 20 cases （21.74%） postoperation, 13 cases had wound infection （14. 13% ）, inosculation fistula appeared in 5 cases （5.43%） ,chyle Conclusion To reveal and to dissociate the fistula appeared in 2 cases （2.17%） ,3 cases died （3.26%）. esophagus and the stomach in the left chest route is more satisfactory than that the right chest route, but it is not convenient to handle the bleeding of azygous vein. The wound of left chest 2 incision is smaller, the bleeding is less,the operation time is short, and the syndrome is less than that of the right chest 3 incision, and it can become a rule incision choice.

关 键 词：左胸径路 右胸径路 胸中、上段食管癌 手术治疗 

分 类 号：R735.1[医药卫生—肿瘤] R735.105[医药卫生—临床医学]