食管癌病人行手术切除,胸内胃代食管是一种常用术式,但术后出现胸壁切口疝尚未见报道。本院发现一例报告如下: 患者男性、65岁,住院号12582,因诊断“食管中段癌”于1988年10月行手术切除,食管胃颈部吻合术(左胸第六肋间入胸,保留肋骨)。术程顺利,术后恢复良好,饮食正常。术后二年偶然发现左胸背部切口疤痕下有一小包块,无压痛,收入院手术治疗。 手术所见:左胸壁原切口肋间有一约3×3×2cm包块,质软,界清,囊性感,包块基部与肋间切口 Surgical resection of patients with esophageal cancer, intrathoracic gastric esophageal replacement is a common procedure, but chest wall incision after surgery has not been reported. A case report was found in this hospital as follows: The patient was male, 65 years old, hospital number 12582, surgically removed due to diagnosis of “middle esophageal cancer” in October 1988, esophagogastric neck anastomosis (left sixth chest intercostal space reserved rib cage). The procedure was smooth, postoperative recovery was good, and the diet was normal. In the second year after operation, a small mass was found under the scar of the left thoracolumbar incision. No tenderness occurred and the patient was admitted to the hospital for surgery. Surgical findings: The left chest wall of the original incision between the costal there is about 3 × 3 × 2cm mass, soft, clear boundary, bladder sexy, mass and base intercostal incision