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本院自1988年4月至1991年,3月手术治疗食管贲门癌123例。无1例发生吻合口狭窄及瘘,现报告如下。临床资料本组中,男98例,女25例。年龄36～80岁,50岁以上103例。发病部位贲门癌84例,食道下段癌28例,食管中段癌11例。病变长度2～7cm。平均3.5cm。术后病理检查淋巴结有转移者64例,两切缘均无癌残留。本组行食管胃弓上吻合11例,弓下吻合112例。术后并发症共7例次,其中切口感染4例,肺部感染2例,肺不张1例,均经对症处理治愈。
In our hospital from April 1988 to 1991, 123 cases of esophageal and cardiac cancer were treated surgically in March. No case of anastomotic stenosis and fistula occurred. The report is as follows. Clinical data in this group, 98 males and 25 females. 36 to 80 years old, 103 patients over the age of 50. There were 84 cases of cardiac cancer, 28 cases of lower esophageal cancer, and 11 cases of middle esophageal cancer. Lesion length 2 ~ 7cm. Average 3.5cm. Postoperative pathological examination showed lymph node metastasis in 64 cases, and no margin of cancer remained at both margins. In this group, 11 cases of esophagogastric anastomosis were performed and 112 cases were anastomosed under the arch. Postoperative complications occurred in 7 cases, including 4 cases of wound infection, 2 cases of pulmonary infection, and 1 case of pulmonary atelectasis. All were treated with symptomatic treatment.