外科治疗的优选手术方法【食管胃连接部癌】手术径路繁多。单纯腹部切口,食管显露不够充分。为了充分显露下段食管,可采用左或右侧开胸加腹部径路,胸骨正中切开的腹部径路,左侧胸腹径路等。其中以左侧胸腹径路最为可取,其优点是:①能充分显露手术野;②可同时检查腹部及纵隔;③可接近任何大小的肿瘤;④术中无须改变病人体位;⑤可完成各种类型重建术或转流术;⑥手术危险性较小,手术死亡率较低,术后恢复过程一般平稳。采用左侧胸腹径路时,病人斜置干右外侧和仰卧位之间。皮肤切口一般在第六或第七肋间。开始仅在切口的前段作一小切口,先开腹探查是否有广泛转移,这种转移是禁忌进一步切除的。在断定肿瘤适于切除后,再将皮肤切口向侧上方延长,开胸并在第六 Surgical treatment of the preferred surgical approach [Esophageal stomach joint cancer] a wide range of surgical routes. Abdominal incision, esophageal exposure is not sufficient. In order to fully expose the lower esophagus, the left or right thorax and abdomen path can be used. The abdomen path of the sternal midline incision and the left thoracoabdominal path can be used. Among them, the left side of the chest and abdomen path is the most desirable, its advantages are: 1 can fully reveal the surgical field; 2 can simultaneously check the abdomen and mediastinum; 3 can be close to any size of the tumor; 4 surgery without changing the position of the patient; Type reconstructive surgery or bypass surgery; 6 less surgical risk, low surgical mortality, postoperative recovery process is generally stable. With the left thoracoabdominal approach, the patient was placed obliquely between the right lateral and supine positions. The skin incision is generally in the sixth or seventh intercostal space. At the beginning of the incision, only a small incision was made in the anterior segment of the incision. The laparotomy was first examined for extensive metastases. This metastasis was contraindicated for further resection. After determining that the tumor is suitable for resection, extend the skin incision laterally upwards, open the chest and in the sixth