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目的探讨胃食管结合部恶性肿瘤(AEG)路径的合理选择方法回顾分析拓城县人民医院近几年手术治疗的349例胃食管结合部恶性肿瘤临床资料,比较经左胸切口、左胸腹联合切口、经腹切口临床效果结果几种手术径路的切缘癌残留率、平均清扫淋巴结数目、手术切除率、吻合口瘘发生率、心肺并发症发生率差异无统计学意义(P>0.05),几种手术径路的平均住院时间分别是13.5d、15d、7.8d而经腹切口手术后平均住院时间显著缩短(P<0.05)。结论术前认真评估临床资料,制定科学的、个体化的手术切口选择方案,胃食管结合部癌手术路径的选择才能更加合理。
Objective To investigate the rational selection of the pathological features of gastroesophageal junctional malignant neoplasms (AEG) in retrospective analysis of the clinical data of 349 cases of gastroesophageal junctional malignancy surgically treated in the Tuocheng County People’s Hospital in recent years and to compare the left thorax incision and left thoracoabdominal incision. Incision and abdominal incision clinical outcomes There were no statistically significant differences in residual margin, average number of lymph nodes removed, surgical resection rate, incidence of anastomotic leakage, and incidence of cardiopulmonary complications in several surgical approaches (P>0.05). The average length of hospital stay was 13.5d, 15d, and 7.8d, respectively, and the average length of stay after abdominal incision was significantly shorter (P<0.05). Conclusion The careful evaluation of clinical data before surgery and the development of a scientific and individualized surgical incision selection program can make the choice of surgical path for gastroesophageal junction cancer more reasonable.