经胸与经胸腹联合切口治疗贲门癌疗效探讨

To study the effect of treating the Cardiac Carcinoma with thoracic and throacola paratomy

目的 :探讨左胸切口及胸腹联合切口治疗贲门癌的各自疗效及经验。方法 :对 10 0例贲门癌患者 ,经胸腹联合切口治疗 5 2例 ;经左胸切口治疗 4 8例 ;从手术切除率、淋巴结清扫范围、术后并发症、五年生存率进行对比分析。结果与结论 :左胸联合切口在淋巴结清扫范围、手术切除率方面具有其优越性。认为早期患者可采用左胸切口、中晚期宜采用左胸腹联合切口。

Objective: To study the effect of treating the cardiac carcinoma with left thoracotomy and throacolaparatomy incision. Methods: 100 cases of cardiac carcinoma were treated throgh operation, on 52 of whom throacolaparatomy was use and 48 left troracotomy. Clinical date of 100 cases were Compared through resection rate?Complication rates?lymph nodes clearance and the 5-year Survival rates. Results and conclusion:the throacolaprotomy has the advantage of higher resection rate,lymph nodes clearance. The authors suggese to use left troracotomy in early Caner,and use throacolaparotomy in cardiac carcinoma of middle or advanced stage.