论文部分内容阅读
改进的胸中段食管癌根治术,即先关左胸、摆平体位,再行食管-胃颈部吻合。我们于1999年1月至2000年6月对26例胸中段食管癌施行改进的根治术,报告如下。1 临床资料1.1 一般资料 本组26例胸中段食管癌中,男24例,女2例;年龄45～68岁。术后病理均为鳞状上皮细胞癌,肿瘤上下切缘阴性。1例吻合口瘘,经换药治愈。无1例术后声音嘶哑。1.2 手术方法 选择左后外侧切口,经第六肋间隙进胸。充分游离食管中段肿瘤和胃大小网膜,清扫周围淋巴结。右手对抗下拉食管,左手食指或中指钝性向上分离食管,至主动脉弓上食管长约6～8cm。注意勿剪开食管上三角纵隔胸膜。在弓下食管近端预缝结扎两针,与胃大小弯标志结扎
Improved mid-thoracic esophageal cancer radical surgery, that is, first close the left chest, flat position, and then esophageal-gastric neck anastomosis. From January 1999 to June 2000, we performed an improved radical mastectomy for 26 cases of mid-thoracic esophageal cancer. The report is as follows. 1 clinical data 1.1 General Information 26 cases of this group of thoracic esophageal cancer, 24 males and 2 females; aged 45 to 68 years old. Postoperative pathology was squamous cell carcinoma, and the upper and lower tumor margins were negative. One case of anastomotic leakage was cured by dressing change. No case had hoarseness after surgery. 1.2 surgical method Select the left posterior lateral incision, through the sixth intercostal space into the chest. Fully free the middle esophageal tumor and stomach size omentum, clean the surrounding lymph nodes. The right hand confronts the lowering esophagus, and the left index finger or middle finger bluntly separates the esophagus, and the esophageal length of the aortic arch is about 6-8 cm. Be careful not to cut the esophageal triangle mediastinal pleura. Two needles are ligated at the proximal end of the lower esophagus and ligated with the stomach size bend mark