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目的:回顾探讨经腹径路贲门癌全胃切除在临床中的效果。方法:40例贲门癌全行全胃切除,D2淋巴结清扫,采用吻合器食管、空肠Roux-en-Y吻合。结果:40例患者无术后继发性出血,返流性食管炎等严重并发症的发生,肺部感染也明显低于开胸手术者,平均住院11天,相对开胸手术平均住院天数少。结论:经腹径路贲门癌手术行全胃切除,均采用吻合器吻合,大大降低了吻合的难度,缩短了吻合时间,手术过程淋巴结清扫范围大,预后好,可避免返流性食管炎的发生。
Objective: To retrospectively investigate the clinical effect of total gastrectomy via perforation of gastric cardia. Methods: Forty cases of cardia cancer were treated with total gastrectomy and D2 lymph node dissection. The stapled esophagus and Roux-en-Y jejunum were anastomosed. Results: There were no serious complications such as secondary hemorrhage and reflux esophagitis in 40 patients. The pulmonary infection was also significantly lower than that of thoracic surgery. The average hospitalization was 11 days, while the average length of stay in thoracotomy was less . Conclusions: Total gastrectomy is performed by transabdominal approach and cardia cancer surgery. All anastomotic anastomoses are performed, which greatly reduces the difficulty of anastomosis and shortens the anastomosis time. The range of lymph node dissection during operation is large, and the prognosis is good, which can avoid the occurrence of reflux esophagitis .