贲门癌手术径路选择的探讨  

Choice of surgical approach for cardiac cancer

作　　者：张晓雨[1] 杨金云[1] 平洪[1] 左洪生[1] 杨林[1] 

机构地区：[1]徐州医学院附属淮安医院胃肠外科,江苏省淮安市223002

出　　处：《江苏医药》2011年第4期454-455,共2页Jiangsu Medical Journal

摘　　要：目的探讨贲门癌手术的合适径路。方法回顾性分析100例贲门癌手术的临床资料。结果经腹(68例)、经胸(32例)两种手术径路的切缘癌残留率、平均清扫淋巴结数目、吻合口瘘发生率、5年生存率差异均无统计学意义(P>0.05);经腹组手术时间短于经胸组[(2.18±0.03)hvs.(2.99±0.08)h],平均输血量少于经胸组[(218.75±23.72)ml vs.(337.50±32.96)ml],术后平均住院时间短于经胸组[(13.49±0.13)d vs.(16.34±0.38)d](P<0.01)。经腹组心肺并发症少于经胸组(7例vs.14例)(P<0.05)。结论经腹径路是贲门癌手术较好的选择。Objective To investigate the optimal surgical approach for cardiac cancer.MethodsThe clinical data of 100 patients underwent surgery for cardiac cancer were analyzed retrospectively.Results There were no significant differences in residual rate of incision margin cancer,the number of the average cleaned lymphatic,incidence of anastomotic leakage and the survival rate between the two surgical approaches of transabdominal（group TA,68 cases） and transthoracic（group TT,32 cases）（P0.05）.The average operative time was shorter in group TA than that in group TT [（2.18±0.03）h vs.（2.99±0.08）h],blood transfusion was less in group TA than that in group TT [（218.75±23.72）ml vs.（337.50±32.96）ml],hospital stay was shorter in group TA than that in group TT [（13.49±0.13）d vs.（16.34±0.38）d]（P0.01）.The postoperative complications and perioperative mortality were less in group TA than those in group TT（P0.05）.Conclusion TA approach is a better surgical approach for cardiac cancer.

关 键 词：贲门癌 手术径路 

分 类 号：R735[医药卫生—肿瘤]