老年贲门癌手术径路的选择  

Senile cardiac cancer operation path selection

作　　者：贾明选[1] 刘书文[1] 郭亮[1] 马文杰[1] 王盛超[1] 

机构地区：[1]河南科技大学附属黄河医院,河南三门峡472000

出　　处：《现代肿瘤医学》2016年第1期67-69,共3页Journal of Modern Oncology

摘　　要：目的:探讨老年贲门癌患者手术径路的选择。方法:对43例老年贲门癌患者采用经腹切口手术,11例病人术中辅助左侧前外侧小切口径路的手术方法。结果:本组术后病检上下切缘均无癌细胞残留,下纵隔淋巴结阳性11例。术后合并肺部感染4例,无吻合口瘘发生。结论:老年贲门癌手术应尽可能经腹腔完成,当术中发现经腹不能彻底切除肿瘤或完成食管胃/空肠吻合时,辅助左胸前外侧小切口手术具有损伤小、并发症少、恢复快等优点。Objective：To study elderly patients with caidica cancer operstion path selection. Methods：For 43 cases of senile cardiac cancer patients with abdominal ncision operation, operation methods in 11 patients was with left anteriorlateral small incision assisted caliber road. Results：The postoperative pathological examination of upper and lower margins were no residual cancer,low mediastinal lymph nodes were positive in 11 cases. After operation ,4 cases complicated with pulmonary infection, no anastomotic fistula. Conclusion：Senile cardiac cancer operation should be done through abdominal cavity, when the intraoperative findings transabdominal cannot complete resection or completion of the anastomosis of esophageal and gastric and jejunum, auxiliary left anterolateral small incision - operation has the advantages of small trauma,fewer complications,faster recovery.

关 键 词：贲门癌 手术径路 左胸前外侧小切口 

分 类 号：R735.2[医药卫生—肿瘤]