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食管下段及贲门癌的常规手术途径,是经左胸腹联合切口或剖腹加右侧进胸切口作食管胃部分切除术以解除吞咽困难。但术后易产生反流性食管炎,并在吻合口残留或复发肿瘤。手术死亡多因位于胸腔内的吻合口漏及开胸所致的呼吸系并发症。作者自1979年10月起对这类病人改用经上腹部和右颈部切口整块切除胸段食管和部分胃,将胃的大弯部作成管状通过纵膈与
The conventional surgical approach for lower esophageal and cardiac cancers is through a left thoracoabdominal incision or a caesarean section plus a right thoracic incision for partial esophagogastric resection to relieve dysphagia. However, it is easy to produce reflux esophagitis and residual or recurrent tumors at the anastomosis. The operative mortality was due to respiratory complications caused by anastomotic leakage and thoracotomy located in the chest cavity. Since October 1979, the author has switched to the entire upper abdomen and right neck incision to remove the thoracic esophagus and part of the stomach, and made the large curvature of the stomach into a tubular shape through the mediastinum.