贲门癌根治术最佳入路—胸腹联合切口

The Left Thoracoabdominal Incision-The Optimal Approach for Resecting Cardiac Cancer

目的:探讨贲门癌根治术的的最佳手术入路。方法:将186例贲门癌患者分为3组:经胸组(80例)、经腹组(63例)和胸腹联合组(43例),回顾分析3组资料。结果:全组无死亡病例,3种手术径路手术出血量、术后并发症发生率、切缘阳性率等差异无统计学意义(P>0.05),但3年生存率差异有统计学意义(P<0.05),胸腹联合组3年生存率显著高于其他两组。结论:胸腹联合切口下行贲门癌根治术效果较理想,围术期亦有很高的安全性。

Objective：To explore the optimal surgical approach for carcinoma in the gastric cardia.Methods：Operational 186 cases of cardia cancer were analyzed retrospectively.The cases were divided into three groups according to the surgical approaches adopted,transthoracic（80 cases）,transabdominal（63 cases）and thoracoabdominal（43 cases）approachs.Results：The operations were accomplished without death in all patients.No significant difference was detected in terms of the average volume of operativeblood,complication rate and positive surgical margins and.but there was an significant difference between transabdominalapproach group and thoracic and thoracoabdominal approach group in terms of the 3-year survival rate.The 3-year survival rate of thoracoabdominal significantly higher than the other two groups.Conclusions：The effects of thoracoabdominal incision downstream carcinoma in the gastric cardia is better,whose perioperative have high security.