我院自1982年1月至1990年1月在食管上段癌、下段癌、贲门癌手术中采用纵劈胸骨上段或下段入路的方法以增加上、下纵隔的术野暴露,从而达到直接游离切除癌灶,并进行淋巴结清扫的目的。全组共49例病人、男30例、女19例,年龄37～78岁。其中胸上段癌21例,下段癌11例,贲门癌17例。术后除 In our hospital from January 1982 to January 1990, we used the mediastinal upper or lower segment approach to increase the exposure of the upper and lower mediastinum in order to achieve direct dissociation in the upper esophageal cancer, lower segment cancer, and cardiac cancer surgery. Resection of cancer foci and lymph node dissection. There were 49 patients in the whole group, 30 males and 19 females, aged 37-78 years old. Among them, 21 were upper thoracic carcinoma, 11 were lower carcinoma, and 17 were cardiac cancer. After surgery