胸中段食管癌的外科治疗探讨  

THE SURGICAL TREATMENT OF MIDDLE THORACIC ESOPHAGEAL CARCINOMA

作　　者：冼国明[1] 骆学全[1] 张文[1] 张波[1] 强生廷[1] 陈华增[1] 张峰[1] 

机构地区：[1]肇庆市第一人民医院,广东肇庆526021

出　　处：《现代医院》2007年第4期20-21,共2页Modern Hospitals

摘　　要：目的探讨胸中段食管癌的合理手术治疗方法。方法分析、比较62例胸中段食管癌不同手术入路的治疗效果。结果右进胸的切除率为100%,左进胸为83.3%,现随访48例效果良好。结论胸中段食管癌若病灶位于主动脉弓后及Ⅲa期后的病例切除以做右胸、上腹切口为佳,能提高手术切除率,提高生存率,效果良好。主动脉弓下Ⅰ～Ⅱ期中段食管癌行左胸切口为佳。　 Objective To investigate the surgical treatment of middle thoracic esophageal carcinoma, Meth- ods Analyze the curative effect of middle thoracic esophageal carcinoma in 62 cases. Results The resection rate through right thoracic incision was 100% and through left thoracic incision was 83.3%, The overall rate of resection was 95.2%, Conclusion Middle thoracic esophageal carcinoma,whose focus behind the aortic arch and in and after term Ⅲ a, is better to adopt the way through fight thoracic, upper abdomen incision that would improve the resection rate and have a better surgical result, however if the focus below the aortic arch and term Ⅰ - Ⅱ the way through left thoracic is a better try,

关 键 词：胸中段食管癌 手术治疗 

分 类 号：R735.1[医药卫生—肿瘤]