论文部分内容阅读
目的探讨贲门癌手术径路的最佳方法。方法选取237例贲门癌手术患者,经左胸72例,经腹103例,经胸腹联合62例,分析3种手术径路治疗结果。结果3种手术径路的切端阳性率,平均淋巴结清扫数,围手术期死亡率,5年生存率等差异无统计学意义(P>0.05),但经腹手术与经胸和经胸腹联合手术相比,术后并发症发生率和术后平均恢复时间差异有统计学意义(P<0.05)。结论贲门癌手术方式应以经腹手术为首选。
Objective To explore the best method of surgical operation of cardia cancer. Methods A total of 237 patients with cardia cancer surgery were selected. The results of the three kinds of surgical approaches were analyzed through 72 cases of left chest, 103 cases of abdomen and 62 cases of thoracoabdominal union. Results There was no significant difference in the positive rate of incision, average lymph node clearance, perioperative mortality and 5-year survival rate among the three kinds of surgical approaches (P> 0.05). However, the combined operation of transabdominal and thoracoabdominal and thoracoabdominal Comparing the postoperative complications and postoperative average recovery time, the difference was statistically significant (P <0.05). Conclusion The operation of cardia cancer should be the first choice of abdominal surgery.