经腹贲门癌切除术临床分析

CLINICAL ANALYSIS OF TRANSABDOMINAL OPERATION FOR CARDIA CANCER

目的 研究经腹贲门癌切除术的适应证和优越性。方法 自 1 997年 1月～ 2 0 0 2年 1 2月共施行经腹贲门癌切除术 5 9例 ,用国产吻合器行食管胃吻合 5 1例 ,食管空肠吻合 8例。结果 全组病例无手术死亡 ,无吻合口瘘 ,食管切缘癌残留 2例。术后恢复时间短。结论 经腹行贲门癌切除、食管胃 (空肠 )机械吻合术 ,术后并发症少 ,输血量少 。

Objective To study the advantage and indication of transventral operation for cardiac cancer Methods 59 patients with eardial eaneer were performed cardiac incision in our ward from Jan.1997 to Dec.2002.The GI stapler was used to perform esophagogastrostomy for cardiac cancer in 51 patients and esophago-jejunostomy in 8 cases.Results There was no operative mortality and anastomotic leakage,only 2cases of remnat carcinoma at the margin,and the patients recovered sooner.Conclusion The transventral cardiac incision with stapled anastomosi has adventages,such as,less postoperative morbidity and the blood was seldom used.This procedure is indicated for cardial carcinoma cases in which the esophageal involvement is within 2 cm.