食管癌贲门癌经胸切除术后严重并发症27例临床分析  

Clinical analysis of severe complications following surgical resection with thoracotomy in 27 patients with esophageal or cardiac carcinoma

作　　者：薛栋[1] 范位沛[1] 谈振国[1] 

机构地区：[1]南京医科大学第二附属医院胸外科,江苏南京210011

出　　处：《河北医学》2003年第6期485-487,共3页Hebei Medicine

摘　　要：目的 :探讨食管癌、贲门癌经胸切除术后严重并发症发生的主要原因及其防治措施。方法 :回顾分析 1988年 8月至 2 0 0 1年 8月在我院经胸切除的食管癌、贲门癌 784例患者 ,其中食管癌 5 6 9例 ,贲门癌 2 15例。结果 :术后发生吻合口瘘 17例 ,死亡 4例 ,乳糜胸 10例 ,死亡 2例。结论 :食管吻合技术的提高、吻合方法的改进和围手术期的处理 ,使食管癌、贲门癌经胸切除术后严重并发症的发生率明显降低。Objective: To investigate the main reasons, care methods and preventing managements of severe complications following surgical resection with thoracotomy in esophageal or cardiac cancer patients . Methods: We retrospectively analyzed 784 patients with esophageal or cardiac cancer who were undertaken surgical treatments with thoracotomy in my hospital from. August 1988 to August 2001.569 cases are esophageal carcinoma , while the rest 215 cases are cardiac carcinoma. Results: Complications occurred postoperatively are including, anastomotic fistala in 17 cases,of which 4 patients died; and chylothorax in 10 cases,4 which 2 patients died. Conclusion: Improvements in the technology of esophago-gastrostomy and perioperative managements have significant importance in reducing the occurrence of complications following surgical treatment with thoracotomy in patients with esophageal or cardiac cancer.

关 键 词：食管癌 贲门癌 经胸切除术 并发症 临床分析 

分 类 号：R735[医药卫生—肿瘤]