1983年8月～1998年10月,我院进行食管癌手术875例,其中并发胸导管损伤26例。现报告如下。 一般资料:本组26例中,男17例,女9例。年龄5～68岁。18例食管癌行食管切除术,中段11例,上段5例,下段2例,均左侧开胸。癌肿长3～8cm,平均5.5cm。术中均见明显肿瘤外浸,癌肿与周围组织粘连紧密,分离困难。8例为闭合性胸外伤,其中4例合并有胸椎椎体骨折,2例左侧膈疝,1例 August 1983 ~ October 1998, our hospital for 875 cases of esophageal cancer surgery, including complicated thoracic duct injury in 26 cases. The report is as follows. General information: The group of 26 patients, 17 males and 9 females. Age 5 to 68 years old. Eighteen esophagectomy patients underwent esophagectomy. There were 11 cases in the middle part, 5 cases in the upper part and 2 cases in the lower part. All patients underwent thoracotomy on the left side. Cancer 3 ~ 8cm long, an average of 5.5cm. Intraoperative findings were significantly tumor outgrowth, cancer and surrounding tissue adhesions close, separation difficulties. 8 cases were closed thoracic trauma, including 4 cases with thoracic vertebral fractures, 2 cases of left diaphragmatic hernia and 1 case