经左胸颈二切口治疗胸中上段食管癌

Dual-incision of left neck and chest esophagectomy of esophageal carcinoma of middle and upper segments in chest

目的:探讨左胸颈二切口治疗胸中上段食管癌的临床价值。方法:回顾性总结分析2002年至2006年间216例左胸颈两切口食管胸中上癌切除术的临床资料。结果:216例无围手术期死亡。术后病理证实淋巴结有转移者123例,总转移率为56.94%(123/216),分组标记证实颈、胸、腹3组淋巴结转移率分别为3.24%(7/216)、56.02%(121/216)、22.69%(49/216)。24例发生并发症,并发症发生率为11.11%(24/216)。结论:左胸颈二切口治疗胸中上段食管癌手术具有病灶切除彻底、切端癌残留阳性率低,严重并发症少,近期疗效好的优点。

Objective： To evaluate the clinical value of the operation of two incision of left neck and chest for upper and middle esophageal carcinoma. Methods： 216 cases of esophageal carcinoma were analyzed retrospectively. Results： There was no death. Lymph node metas- tases were presenting 123 cases.The gross rate of lymph node metastasis was 56.94% （1231216） ,the rates of lymph nodes metastasis in neck, chest and abdomen were 3.24% （7/216） ,56.02% （121/216） ,22.69% （49/216）, respectively. And the complication rate was 11.11% （24/ 216）. Conclusions： It suggested that this procedure were relatively radical resection, low incidence of residual carcinoma, less severe complications and good shortterm effect.