右开胸、三野手术治疗中上段食管癌56例

The three -field radical resection of esophagus carcinoma through opening the right chest

目的:总结右开胸、三野手术方式治疗中上段食管癌的价值。方法:56例胸中上段食管癌患者经右侧第五肋间、前外侧切口进胸,食管次全切除,经食管床胃代食管颈部吻合。结果:无围手术期死亡病例,术后发生吻合口瘘1例,经治疗后痊愈,喉返神经损伤2例,吻合口狭窄3例。无严重并发症发生,疗效满意。结论:右开胸三野手术治疗中上段食管癌切除率高,淋巴结清除彻底,并发症少,是治疗中上段食管癌理想、安全的手术方式。

Objective： To evaluate the method of three-field radical resection of esophagus carcinome through opening the right chest for middle and upper segment esophagus . Method： 56 cases patients whose carcinoma lied in the middle and upper segmend esophagus were operated through opening the right chest between the five and six rib, and the esophagus were cut sub-entirely and replaced by stomach with neck anastomosis through esophagus bed. Results：There were no dead patients in the perioperative period. There was one post-operation anastomosis fistula which recovered after treatment. There were two recurrent laryngeal nerve injuried. And three patients whose anastomosis were nsrrow. There were no serious complications. Coneelusion ：The three-field radical resection of esophagus carcinome throngh opening the right chest was an ideal,safe method.