经右胸中上段食管癌切除两种术式比较  

Comparison between Two Methods of Resection of The Upper and Middle Esophageal Carcinoma Through Right Thorax

作　　者：翁准[1] 覃天力[1] 刘积良[1] 段寅[1] 隋捷[1] 

机构地区：[1]广东省深圳市第二人民医院肿瘤科,深圳518035

出　　处：《四川肿瘤防治》2004年第1期15-17,共3页Sichuan Journal of Cancer Control

摘　　要：目的:探讨右后外侧剖胸切除胸中上段食管癌两种术式的优缺点。方法:全组手术切除50例,分为AB两组。A组为先开腹再行右后外侧开胸术式组25例,B组为先开胸后行颈腹三切口术式组25例。结果:切除率100％,全部治愈出院。术后并发症:先开腹组发生心肺并发症4例,声嘶2例,颈部吻合口漏2例;先开胸组发生心肺并发症3例,胃排空障碍2例,声嘶1例。结论:在胸中上段食管癌切除术中,采用先开腹再行右后外侧开胸术式具有较多优点和灵活性,对较早期及切除把握较大的病人,推荐行先开腹术式。Objective: To evaluate two different methods of resecting the upper and middle esophageal carcinoma by righ-posterolateral thoracotomy. Methods: 50 cases were divided into two groups. 25 cases in group A were perfomed with the laparotomy before the thoracotomy, and 25 cases in group B were perfomed with the laparotomy and neck incision after the thoracotomy. Results; The rate of resection in the 2 groups were both 100 % . All the patients were cured. In group A, 4 cases of cardiac pulmonary complication, 2 cases of hoarseness and 2 cases of leakage of anastomosis in neck occured after operation. In groupB 3 cases of cardiac pulmonry complication, 2 cases of thoracic stomach draining obstruction and 1 case of hoarseness had occared after-operation.Conclusion: For treating the upper and middle esophageal carcinoma , the method of laparotomy following righ-posterolateral thoracotomy is superior. It should be recommended to the patients who were in early stage or evaluated cna be resected before operation.

关 键 词：经右胸中上段切除术 食管癌 手术治疗 手术方式 术后并发症 

分 类 号：R735.1[医药卫生—肿瘤] R730.56[医药卫生—临床医学]