食管癌贲门癌术式与术后并发症的相关分析  

Correlation Analysis of Postoperative Complications vs Operative Modality of Esophageal or Cardiac Cancer

作　　者：朱宪明[1] 张玉龙[1] 邱能庸[1] 张振兴[1] 赛西[1] 陈书山[1] 高旭东[1] 特木热[1] 

机构地区：[1]内蒙古医学院附属第一医院胸心外科,呼和浩特市010050

出　　处：《中国肿瘤临床》2002年第4期273-275,共3页Chinese Journal of Clinical Oncology

摘　　要：目的:回顾性总结手术切除的1179例食管癌贲门癌病例,对手术方式和术后并发症的相关性做比较。方法:采用4种开胸入路手术方式。结果:1)右胸腹颈三切口手术157例发生并发症多。2)左胸颈二切口全胃食管床内移植123例,手术简便安全,并发症少。3)左胸主动脉弓上吻合215例,并发症最多。4)左胸主动脉弓下吻合684例,手术简单安全,并发症最少。结论:推荐食管上段癌手术选择右胸腹颈三切口术式,中段癌选左胸颈二切口,下段癌选择主动脉弓下吻合或左颈吻合,尽量少用主动脉弓上吻合。Objective:To study the correlation of different operative modality and compli-cations after resection of esophageal or cardiac cancers.Methods:Four operative modalities were performed in1179cases of esophageal or cardiac cancer.Results:1)One hundred and fifty-seven cases underwent right 'Tri-incision operation'(thoraco-abdominal and cervical inci-sions)with more complications.2)Left'Bi-incision operation'(Thoraco-cervical incisions)which was simple,safe and with few complications was performed in123cases.3)Most complications were observed in the patients underwent left supra--thoracic aortic arch anastomosis.4)Left in-frathoracic aortic arch anastomosis which was safe,simple and with least complications was used in684patients.Conclusion:It is suggested that the'Tri-incision operation'might be used for upper esophageal cancer,'Bi-incision operation'for mid-esophageal cancer,.and infra-thoracic aortic arch anastomosis for lower esophageal cancer.The supra-aortic arch anastomosis should be selected as less as possible.

关 键 词：手术方式 术后并发症 食管贲门癌 外科手术 

分 类 号：R735[医药卫生—肿瘤] R730.56[医药卫生—临床医学]