三切口经胸骨后颈部胃食管吻合治疗食管癌  

Trans-substernal cervical gastroesophagostomy of three incisions for treating esophageal carcinoma

作　　者：李瑞华[1] 吕晔[1] 林建雄[1] 曾智豪[1] 张克强[1] 徐骏[1] 曾伟[1] 张辉寰[1] 

机构地区：[1]广东省佛山市顺德区第一人民医院胸外科,528300

出　　处：《岭南现代临床外科》2007年第2期134-135,共2页Lingnan Modern Clinics in Surgery

摘　　要：目的探讨食管癌经三切口的手术方法及疗效。方法自2003年4月至2005年10月,我院收治15例食管癌接受三切口行肿瘤切除及经胸骨后颈部胃食管吻合术进行回顾性分析。结果15例中,8例行根治性切除,其余7例为姑息性切除;术后2例发生吻合瘘,但均经恰当引流而治愈,无心肺并发症发生。术后随访2～29月,肿瘤复发死亡1例。结论三切口经胸骨后颈部胃食管吻合术治疗食管癌是一个安全有效的治疗方法。Objective To investigate effects for esophageal carcinoma. Methods the operative method of three incisions and curative From April 2003 to October 2005,15 cases with esophageal carcinoma received tumor reseetion of trans-substernal cervical gasroesophagostomy were analyzed retrospectively. Results Among the 15 cases, 8 cases were resected radically, and the others were resected palliatively. Anastomotic leakage was found in 2 cases after operation, but all the leakages were cured by proper diainage. No cardiopulmonary complications were occurred. Follow-up time was from 2-29 months, one case died from tumor recurrence. Conclusion Transsubsternal cervical gastroesophagostomy of three incision is a safe and effective therapeutic method for the treatment of esophageal carcinoma.

关 键 词：食管癌 经胸骨后入路 三切口 

分 类 号：R735.1[医药卫生—肿瘤]