经腹后纵隔贲门癌根治术  

Transabdominal Posterior Mediastinum Radical Operation for Cadial Carcinoma

作　　者：曹增[1] 王雪峰[1] 张健[1] 张永忠[1] 高建林[1] 张明生[1] 

机构地区：[1]包头市第七医院肿瘤外科,内蒙古包头014030

出　　处：《内蒙古医学杂志》2004年第3期177-178,共2页Inner Mongolia Medical Journal

基　　金：包头市医药卫生科技发展基金项目

摘　　要：目的 :探讨经腹后纵隔施行贲门癌根治术。方法 :对 1993～ 2 0 0 3年经腹采用管状吻合器进行纵隔内食管胃 (空肠 )吻合的 134例进行回顾性分析。结果 :根治性切除贲门癌时 ,在癌灶以上 5cm切断食管 ,无切缘癌残留 ;无手术死亡 ,2例吻合口瘘 ,3例吻合口狭窄 ;并发症低于开胸手术。结论 :经腹扩大后下纵隔视野 ,有利于施行贲门癌根治术、纵隔内食管胃 (空肠 )机械吻合术 ,能预防并发症的发生。Objective: To evaluate the efficacy of transabdominal posterior mediastinum radical operation in the treatment of cardial carcinoma. Method: From 1993 to 2003,134 patients were treated with transabdominal intrame-diastinal esophagogastrostomy or esophagojejunostomy Jia the end-to-end anastomosis (EEA)stapler. Result: In radical resection of cadial carcinoma,the average length of resected esophagus above the carcinoma was about 5 cm,there was no remnant at the margin.There was no operative complication of death,2 anas tomotic leakage,3 anastomotic stenosis,which was lower than those in the thoraco tomy. Conclusion: The transabdominal approach makes a clear operative field in postero-inferior mediastinum,it is helpful to performi radical resection of cardial carcinoma and intramediastinal esophagogastric or esophagojejunal mechanical anastomosis,and prevent complica tions.

关 键 词：贲门癌 纵隔 吻合术 

分 类 号：R735.2[医药卫生—肿瘤]