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目的总结食管贲门癌围术期二次开胸的原因及治疗经验。方法对我院2000年1月—2010年12月食管贲门癌围术期二次开胸9例的原因及治疗情况进行回顾性分析。结果本组术后发生乳糜胸4例,内出血3例,胸胃瘘、膈疝各1例。二次开胸治疗后7例治愈;1例乳糜胸患者再次发生乳糜胸,1例胸胃瘘患者再次发生胃壁瘘,均经保守治疗治愈。结论及时的二次开胸手术是治疗某些食管贲门癌手术并发症的有效手段。
Objective To summarize the causes and treatment experience of secondary thoracotomy during perioperative period of esophageal and cardiac cancer. Methods A retrospective analysis was made of the causes and treatment of 9 cases of secondary thoracotomy during the perioperative period of esophageal and cardiac cancer from January 2000 to December 2010 in our hospital. Results There were 4 cases of chylothorax, 3 cases of internal hemorrhage, and 1 case of thoracic gastric fistula and fistula in this group. Seven cases were cured after the second thoracotomy treatment; one case of chylothorax recurred chylothorax, and one case of thoracic and gastric sputum recurred gastric wall hernia, which were all cured with conservative treatment. Conclusion Timely secondary thoracic surgery is an effective method to treat some complications of esophageal and cardiac cancer.