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目的探讨改良式左胸腹联合左颈二切口在食管下段癌根治术中的应用。方法对2002年2月至2003年6月采用了改良式左胸腹联合左颈二切口根治术的21例食管下段癌患者的手术时间、手术并发症、上腹部淋巴结清扫范围进行回顾性分析。结果改良式左胸腹联合左颈二切口根治术能有效的简化了手术操作步骤,减少了手术创伤及并发症,扩大了腹内淋巴结清扫范围。结论改良式左胸腹联合左颈二切口根治术是食管下段癌患者的较理想的术式。
Objective To investigate the application of modified left thoracoabdominal and left cervical two incision in radical resection of lower esophageal cancer. Methods Twenty-one cases of lower esophageal carcinoma underwent modified left thoracoabdominal and left-neck two-incision radical mastectomy between February 2002 and June 2003 were retrospectively analyzed for operative time, operative complications and the extent of upper-abdominal lymph node dissection. Results Modified left thoracoabdominal and left cervical two incision radical mastectomy can effectively simplify the operation procedure, reduce the surgical trauma and complications, expand the range of intra-abdominal lymph node dissection. Conclusions Modified left thoracoabdominal and left cervical two-incision radical mastectomy is the ideal surgical method for patients with lower esophageal cancer.