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我们近几年来对两例Ⅲ期贲门癌病人行食管下段加近端胃大部切除后,重建消化道采用如下新方法: 手术行右侧卧位,先开腹探查,确定肿瘤可切除后,沿左六肋间开胸,经胸腹联合切口进入胸腹腔,切开膈肌至食管裂孔。切除食管下段8—10cm。及近端大部分胃,连同大小网膜、脾及部分胰体尾(胰受侵时)。清除贲门,大小弯、胃左动脉、脾门等淋巴结。
In recent years, we have performed two cases of patients with stage III cardiac cancer after the lower part of the esophagus plus proximal gastrectomy. The following new methods are used to reconstruct the digestive tract: The operation is performed in the right lateral position, and the first laparotomy is performed to confirm that the tumor can be removed. The thorax was opened along the left six intercostal space, and the thoracoabdominal incision was performed through the thoracoabdominal incision. The diaphragm was incised to the esophageal hiatus. The lower part of the esophagus was removed 8-10 cm. And most of the proximal stomach, together with the size of the omentum, spleen and part of the pancreatic body and tail (pancreatic invasion). Clear the fontanelle, size curve, left gastric artery, spleen and other lymph nodes.