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作者对36例特殊体型胃上部癌经腹部径路．采用万能腹腔牵开器，在十分良好的视野暴露下完成胃癌根治及消化道重建。胃上部癌经腹行根治性切除，充分暴露膈穹窿至关重要。万能腹腔牵开器能有效地扩大胸廓下口，清晰窥视膈穹窿，不需切除剑突、切断肋弓、也不需作创伤较大的双肋缘下切口，而顺利完成根治性切除的操作。作者认为经腹径路，能以肿瘤为中心作相应范围的上下切除及各组淋巴结的规则性清扫，是符合肿瘤治疗原则的最佳手术径路。但是，胃上部癌侵及食管下段超过2cm以上者、严重脊术后凸畸型、肿瘤已侵及食管裂孔及横膈者应列为经腹手术禁忌。
3. The authors conducted abdominal path through 36 cases of upper stomach cancer with special body shape. A universal abdominal retractor was used to complete the cure of gastric cancer and digestive tract reconstruction under very good visual field exposure. Radical resection of upper stomach cancer is essential for full exposure. The universal abdominal retractor can effectively enlarge the lower thorax, clear the eyelid, and do not need to remove the xiphoid process, cut the costal arch, and do not need to make the trauma of the double-costal incision, and complete the radical resection operation successfully. . The authors believe that the transabdominal pathway can be used as the center of the tumor for the corresponding range of upper and lower resection and regular clearance of each group of lymph nodes, is the best surgical approach in line with the principle of tumor treatment. However, patients with more than 2 cm of upper stomach cancer invading the lower esophagus, severe ridge postoperative convex deformity, tumor invasion and esophageal hiatus and diaphragm should be classified as contraindications for abdominal surgery.