【摘 要】
：
目的探讨贲门及部分胃小弯整块切除在食管中下段癌手术中的临床意义。方法对我院2007年1月～2009年12月期间的110例食管中下段癌患者行根治术,骨骼化胃左动脉,并整块切除胃贲门
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目的探讨贲门及部分胃小弯整块切除在食管中下段癌手术中的临床意义。方法对我院2007年1月～2009年12月期间的110例食管中下段癌患者行根治术,骨骼化胃左动脉,并整块切除胃贲门及部分胃小弯组织,常规送病检。结果全组无围术期死亡。术后病检证实均为食管鳞状细胞癌。28例发生胃左动脉旁淋巴结癌转移,阳性率25.5%。其中胸中段食管癌5例,阳性率15.6%;中下及下段食管癌23例,阳性率29.5%。pTNM分期：0～Ⅱ期46例,发生胃左动脉旁淋巴结癌转移7例（15.2%）;Ⅲ～Ⅳ期54例,发生胃左动脉旁淋巴结癌
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