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目的改进胸中段食管癌的手术经路,探讨治疗胸中段食管癌的临床经验。方法回顾分析自2003年1月至2007年12月采用左侧卧位70°经右胸后外侧上腹正中二切口,配合术中手术台左右调节治疗100例胸中段食管癌患者的临床资料。结果手术切除率100%,全部治愈出院,术后并发症发生率11.0%,其中心肺并发症7例、吻合口瘘2例、胃排空障碍1例、声嘶1例。本组1,3,5年生存率为87.0%、62.0%和46.0%。结论采用左侧卧70°,右胸后外侧上腹正中切口配合术中手术台左右调节行胸中段食管癌切除,有胸腹手术视野暴露好、切除率高及淋巴纵隔脂肪组织清扫彻底等优势。
Objective To improve the operation path of mid thoracic esophageal cancer and discuss the clinical experience of treating mid-thoracic esophageal cancer. Methods From January 2003 to December 2007, the clinical data of 100 cases of thoracic esophageal esophageal cancer were retrospectively analyzed using left lateral midline and right middle incision at 70 ° in the left lateral position. Results The surgical resection rate was 100%. All patients were cured and discharged. The incidence of postoperative complications was 11.0%. There were 7 cases of cardiopulmonary complications, 2 cases of anastomotic fistula, 1 case of gastric emptying disorder and 1 case of hoarseness. The 1, 3, 5-year survival rates were 87.0%, 62.0% and 46.0%. Conclusion The left lateral mid-abdominal incision with 70 ° lateral left and right lateral thoracotomy combined with intra-operative operating table can adjust the mid-thoracic esophageal cancer resection, which has good exposure in thoracoabdominal surgery, high resection rate and thorough dissection of lymphatic mediastinal adipose tissue .