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1987年8月至2002年12月,我们采用经右胸、左上腹部及左颈部“三切口”手术方法,治疗中段以上食管癌381例。现总结报告如下。1 资料与方法1.1 临床资料本组男312例,女69例;年龄31～77(平均57.1)岁。根据 UICC(1997)食管癌的分段及分期标准,肿瘤均位于食管中段以上,其中两处病灶以上者4例(距主病灶>5cm)。术后病理分期:0期1例,Ⅰ期5例,Ⅱ_A 期153例,Ⅱ_B期48例,Ⅲ期171例,Ⅳ期3例。1.2 手术方法手术均采用右胸后外侧切口游离
August 1987 to December 2002, we adopted the right chest, left upper abdomen and left neck “triple incision ” surgical approach to treat 381 cases of esophageal cancer above the middle. The report is summarized as follows. 1 Materials and Methods 1.1 Clinical data The group of male 312 cases, 69 females; aged 31 to 77 (mean 57.1) years of age. According to UICC (1997) staging and staging criteria of esophageal cancer, tumors were located in the middle of the esophagus, including two lesions above the 4 cases (from the main lesion> 5cm). Postoperative pathological stage: stage 0 in 1 case, stage Ⅰ in 5 cases, stage Ⅱ_A in 153 cases, stage Ⅱ_B in 48 cases, stage Ⅲ in 171 cases and stage Ⅳ in 3 cases. 1.2 Surgical methods are used after the right thoracotomy lateral incision free