右胸及上腹两切口在食管中段癌手术中的应用

Application of right thoracal and upper abdominal double incisions to mid-esophageal cancer surgery

目的观察两切口术式行食管中段癌切除的优点和近期疗效及两种不同手术顺序的比较。方法对102例食管中段癌采用右胸后外侧加上腹正中两切口术式观察其优点及术后并发症情况,并进行两种不同手术顺序的比较。结果全组1例死亡0.9%(1/102),无切缘肿瘤细胞阳性、吻合口瘘及乳糜胸发生。结论食管中段癌采用右胸及上腹两切口术式具有切除率高、手术操作方便、术后并发症少及手术安全等特点。

Aim To investigate the advantage and the curative effect in the near future of right thoraeal and upper abdominal double incisions and to compare the two different sequences of surgery. Method Right thoraeal and upper abdominal double incisions were performed in 102 eases with mid-esophageal cancer, advantages and post-operative complications were evaluated,and different sequences of operation management were compared. Results Only one ease died in this group 0.9% （1/102） , and all of the eases had no complications including positive of cutting edge,leakage of anastomosis and ehylothrox. Conclusion Right thoraeal and upper abdominal double incisions in mid-esophageal cancer had advantages of high dissection rate, convenient operation management,less post-operative complications and the operation was safe.