非开胸上段食管癌直视下切除38例报告  

No-thoracotomy visual resection of upper esophageal carcinoma:report of 38 cases

作　　者：王明元[1] 吴和康[1] 杜江萍[1] 

机构地区：[1]解放军第95医院外科,福建莆田351100

出　　处：《肿瘤防治研究》1998年第5期380-382,共3页Cancer Research on Prevention and Treatment

摘　　要：本文报告非开胸直视下切除上段食管癌38例。男性27例，女性11例。年龄36～79岁。肿瘤长度l．0～7．ocm。肿瘤下缘均在主动脉弓上缘以上。手术并发症发生10．5％，无手术死亡。手术采用颈部扩大切口或纵劈上部胸骨入路直视下游离肿瘤，正常中下段食管内翻剥脱，食管胃或咽胃颈部吻合。此种手术避免了开胸、创伤小、操作简单且效果好，值得推广运用。The results of 38 cases with carcinoma of the upper esophageal visual resected without thoracotomy are reported. The patients consisted of 27 males and 11 females. The ages were between 36 to 79 years. The tumors were 1. 0 to 7. ocm in length. The lower line of tumors were above the convexity of the aortic arch. The operative morbidity rate was 10. 5 % and no death occurred. The OPeration have used cervical incision extending or the addition of a partial upper stenal split facilitates dissection of the tumors under direct vision the middle and lowthorcic normal esophageal was subjected to esophagectomy and esophasosastrostomy or pharyngogastrostomy in the neck. The advantages of this procedure are obvious; a thoracotomy is avoided, thus minimizing the physiologic insult of the operation; its simplicity and satisfactory results, and its wide application seems justified.

关 键 词：食管肿瘤 外科手术 病例报告 

分 类 号：R735.105[医药卫生—肿瘤]