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目的研究颈、胸、腹“三切口”食管癌根治术对切除肿瘤的彻底性,防治主要并发症吻合口瘘。方法 2000年1月~2011年1月采用颈、胸、腹“三切口”行食管癌切除,全胃代食管术共2162例,介绍手术方法的改进,并发症的防治。结果手术切除率97%,发生吻合口瘘207例,平均发生率为9.9%,围术期死亡率为“0”。结论颈、胸、腹“三切口”食管癌切除术相对彻底地切除病灶(食管切除长度>80%)并使“三野”淋巴结清除成为可能,“三切口”不能降低吻合口瘘的发生,但可降低这一并发症的死亡率。
Objective To study the completeness of excision of tumor, prevention and cure of the main complications of anastomotic fistula by resection of neck, chest and abdomen. Methods From January 2000 to January 2011, 2162 cases of esophageal cancer were resected by cervical, thoracic and abdominal “triple incision”. The total esophageal esophageal total was treated with 2162 cases. The improvement of operation method and the prevention and treatment of complications were introduced. Results The surgical resection rate was 97%. Anastomotic fistula occurred in 207 cases, the average incidence was 9.9%. The perioperative mortality rate was “0”. Conclusions Neck, thorax, abdomen, “triple incision” esophageal resection relatively complete removal of the lesion (esophageal resection length> 80%) and make “San Ye ” lymph node clearance possible, “triple incision ” can not reduce the anastomosis The occurrence of oral fistula, but can reduce the mortality rate of this complication.