论文部分内容阅读
目的:探讨胸中上段食管癌的手术治疗方法及可靠的术式。方法:对53例胸中上段食管癌患者采用颈胸腹三切口食管癌根治术,术中行下颈野、胸野、上腹野淋巴结清除术,胃管成形代食管,经胸骨后或食管径路,于颈部行食管胃手工缝合。结果:手术切除率100 %,近期随访效果好,并发症少。结论:对于胸中、上段食管癌采用经右胸三切口食管癌根治术,切除全胸段食管,行颈胸腹三区域淋巴结清除术,预防性结扎胸导管,保留迷走神经肺支,术中行幽门成形术,留置空肠营养管,胃管经食管床引至颈部,直视下食管胃分层间断缝合,符合食管癌根治原则,有利于减少术后复发及并发症。
Objective: To investigate the surgical treatment of upper thoracic esophageal cancer and reliable surgical procedures. Methods: Fifty-three patients with upper thoracic esophageal cancer underwent thoracotomy and three-incision esophageal cancer radical mastectomy. The patients underwent operation of neck and thoracic field, upper abdominal lymph node dissection, gastroscopic esophageal, trans-sternum or esophageal approach, Esophageal stomach in the neck by hand suture. Results: Surgical resection rate of 100%, the recent follow-up effect is good, fewer complications. Conclusion: For the thoracic and upper esophageal cancer, the right thoracic and triple incision esophageal cancer radical resection, the removal of the thoracic esophagus, cervical and thoracic and abdominal lymph node dissection, thoracic duct precaution, vagus nerve branch of the bronchus, pyloric surgery line Surgery, indwelling jejunal nutrition tube, stomach tube lead to the neck through the esophageal bed, under direct vision esophageal staging interrupted suture, in line with the principle of esophageal cancer radical, is conducive to reducing postoperative recurrence and complications.