经右胸后纵隔切除胸段食管癌食管床内全胃代食管术

RESECTION OF THORACIC ESOPHAGEAL CARCINOMA THROUGH RIGHT THOROCOTOMY WITH TOTAL GASTRIC REPLACEMENT

作者采用经右胸后纵隔切除胸段食管癌,食管床内全胃代食管术50例,取得了良好效果。术后因并发症死亡1例(2％)。本文重点介绍了手术方法,注意事项及对本术式的体会等。作者认为,本术式不仅能彻底切除食管病变,而对清除食管旁,隆突下、上纵隔的淋巴结较方便、彻底、符合食管癌治疗“规范化”的要求。胸腔显露时间短,术后胸部并发症发生率低,颈部食管胃吻合的安全度高,值得推荐。

50 cases of thoracic esophagea! carcinoma were resected through rightthoracotomy with total gastric replacement. The results of surgical treatment were satisfactory, only one died of complications. In this article, the procedures and methods of this operation are reported, and the adrantages of thir operation, the precautions, and complications were discussed.