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自1989年4月经腹行贲门癌切除6例。5例手工吻合,1例使用吻合器,取得较好效果,无手术死亡及合并症发生。其体会于下。 6例中男5例,女1例。年龄46～64岁。食道切除长度3～4cm,切缘无癌残留。病理诊断高分化腺癌、溃疡型腺癌及低分化腺癌各2例。适应证①贲门癌未侵犯食道或食道下段受侵不超过2cm。②老年及严重心肺疾患不宜开胸者。
Since April 1989, 6 cases of cardiac cancer resection have been performed. Five patients had manual anastomosis, and one patient used an anastomosis device to obtain better results. No operative death or complications occurred. Its experience in the next. In 6 cases, there were 5 males and 1 female. Age 46 to 64 years old. Esophageal resection length 3 ~ 4cm, margins without cancer residue. Pathological diagnosis of well-differentiated adenocarcinoma, ulcerated adenocarcinoma, and poorly differentiated adenocarcinoma of 2 cases each. Indications 1 Cardiac cancer does not invade the lower esophagus or esophagus. The invasion does not exceed 2 cm. 2 elderly and severe heart and lung diseases should not open the chest.