贲门癌手术切口选择的研究

The study of surgical approach option for the cardiac carcinoma

目的探讨贲门癌手术径路的最佳方法。方法选取237例贲门癌手术患者,经左胸72例,经腹103例,经胸腹联合62例,分析3种手术径路治疗结果。结果3种手术径路的切端阳性率,平均淋巴结清扫数,围手术期死亡率,5年生存率等差异无统计学意义(P>0.05),但经腹手术与经胸和经胸腹联合手术相比,术后并发症发生率和术后平均恢复时间差异有统计学意义(P<0.05)。结论贲门癌手术方式应以经腹手术为首选。

objective To explore the optional surgical approach for the cardiac carcinoma. Methods 237 cases of cardiac carcinoma were treated through operation according to the surgical approaches adopted, namely transabdominal approach (103 cases)、thoracic approach(72 cases) and thoracoabdominal approach(62 cases), and the therapeutic effects of the three approaches were compared. Results In the three groups, there were no difference among the positive rate of the resection edge, the average number of lymph nodes removed, perioperative mortality rate and the 5-year survival rate, but there was an significant difference between transabdominal approach group and thoracic and thoracoabdominal approach group in terms of complication rate and the average hospital stay(P<0.05).Conclusion Transabdominal approach is the first option for operation of the cardiac carcinoma.