非开胸治疗食管癌贲门癌62例体会

Experiences with Non-transthoracic Approach for Advanced Esophageal or Cardiac Carcinoma

本文对62例食管、贲门癌患者施行了非开胸四种手术方式的治疗;即食管内翻拔脱;食管外钝性剥脱;单纯经上腹正中切口和上腹正中切口胸骨正中劈开切除食管下段及贲门。作者认为本术式具有创伤小,术后恢复快的优点。尤其是对于年老体弱、伴有心肺功能障碍的患者更为适用。对于食管下段癌及贲门癌患者,如果探查发现肿瘤向邻近器官侵犯,即可同时进行扩大根治术,提高手术切除率。

Non-transthoracic approach were pursued in 62 cases of esophageal or cardiac carcinoma by means of four approaches, i. e. inversion esophagectomy,extraesophageal blunt stripping, midline epigastric incision,and midline epigastric incision with sternal splitting for lower esophagectomy or cardiectomy. The advantages of non-thoracotomy are less mutilating and shorter recovery period and therefore is suitable for elderly or weakened petients or those who has heart or pulmonary insufficiency.