食管癌全胸段食管切除食管胃吻合器胸顶吻合与“三切口”术式比较  

Comparison betweem Stapling Esophagogastrostomy and "Three Incisions Operation" in Total Thoracic Esophagectomy for Esophageal Carcinoma

作　　者：应敏刚[1] 张乐道[1] 柳硕岩[1] 佘志廉[1] 朱坤寿[1] 

机构地区：[1]福建省肿瘤医院,福州350014

出　　处：《浙江肿瘤》1997年第2期73-74,共2页

基　　金：福建省卫生厅"八五’计划科研课题

摘　　要：目的：评价食管胃吻合器胸顶吻合术在全胸段食管切除治疗食管癌的临床应用价值。方法：42例病例随机分为经在胸行食管胃吻合器胸项吻合组和经右胸行“三切口”手术组，并对临床资料进行分析。结果：吻合器法具有手术时间短，并发症少、术后恢复快、手术适应证广等优点，其食管切除以及胸腹部淋巴结的清扫范围与“王切口”才式大致相同，但预部淋巴结的清扫不如后者。结论：在不适宜开展“三切口”手术的情况下，食管胃吻合器胸顶吻合术是全胸段食管切除治疗食管癌的一种好方法。Purpose: To appraise the clinical value of the stapling esophagogastrostomy in totaI thoracic esophagectomy for esophageal carcinoma. Methods: The 42 cases were divided into two groups randomly. One group was undergone stapling esophagogastrostomy through the left chest, and the other 21 cases were treated with the ltthree incisions operation'. Results: There are many advantages in the stapling esophagogastrostomy, such as short operating hours, few complications, rapid postoperative recovery and wide indication of operation. Thc cxtent of the esophagcctomy and thoraco-abdominal lymph node dissection are similar in these two groups, but the extent of cervical lymph node dissection in the stapling group is smaller than that in the 'three incisions operation' group. Concfusion:The stapling esophagogastrostomy is a good way in total thoracic esophagectomy for esophageal carcinoma, especially when the patient is not suitable for 'three incisions operation'.

关 键 词：食管癌 吻合器 全胸段 食管切除 外科手术 

分 类 号：R735.105[医药卫生—肿瘤]