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目的 提高弓后、胸上段食管癌的切除率及扩大其切除范围 ,简化手术。方法 对 3 3例主动脉弓后、胸内主动脉弓上段食管癌经右胸手术切除 ,并用管状消化道吻合器在胸骨上凹上方作食管胃吻合。结果 手术全部成功 ,无死亡 ,无吻合口瘘 ,无喉返神经损伤 ,亦无其它吻合口并发症发生。结论 体会到对这类病例采用右径路手术 ,不但暴露好、切除率高、扩大了食管癌切除范围 ,而且还较颈部切口手工吻合简便省时、安全可靠。
Objective To improve the resection rate of posterior arch and upper thoracic esophageal cancer and enlarge its scope of resection to simplify the operation. Methods Thirty-three cases of esophageal carcinoma of the aortic arch and the upper segment of the aortic arch were surgically resected through the right thorax, and an anastomosis of the esophagus and stomach was performed using a tubular digestive anastomat above the sternum. Results All the operations were successful, no death, no anastomotic leakage, no recurrent laryngeal nerve injury, and no other anastomotic complications. Conclusion It is appreciated that right-surgical operation for these cases not only has good exposure, high resection rate, expanded resection range of esophageal cancer, but also is easier, less time-consuming, safer and more reliable than manual incision of neck incision.