贲门癌手术切口选择的探讨

Selection of surgical approach for cardiac cancer

目的探讨贲门癌手术切口的合理选择。方法回顾性分析168例贲门癌临床资料,统计经腹切口、经胸切口、胸腹联合切口三种手术径路的切缘癌残留率、平均清扫淋巴结数目、手术切除率、吻合口瘘发生率、心肺并发症发生率和术后平均住院时间等指标。结果三种手术径路的切缘癌残留率、平均清扫淋巴结数目、手术切除率、吻合口瘘发生率、心肺并发症发生率差异无统计学意义(P>0.05),三种手术径路的平均住院时间分别是9.6 d、14.2 d、15.2 d,而经腹切口手术后平均住院时间显著缩短(P<0.05)。结论贲门癌手术入路应根据患者情况制定个体化手术切口选择方案。

Objective To discuss the selection of surgical approach for cardiac cancer. Methods the clinical data from 168 patients were analyzed retrospectively. The residual incision margin cancer rate of three surgical approaches, the number of average cleaned lymphatic, surgical excision rate, the incidence of the postoperative complications and the average postoperative hospital stay were analyzed statistically. Results There was no significant difference in residual incision margin cancer rate, the number of the average cleaned lymphatic, the incidence of anastomotic leakage and the incidence of the postoperative complications among the three surgical approaches （ P 〉 0.05 ）. While the mean hospital stay was 9.6, 14.2 and 15.2 days, respectively, was significantly shorter （ P 〈 0.05 ）. Conclusion The selection of the surgical incision for cardiac cancer is based on the patient individually.