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我院自1994年4月-1996年5月行经右胸上腹二切口食管癌切除、经食管床右胸膜顶全胃食管重建42例,取得了较满意的效果。1临床资料 本组男28例,女14例,年龄34-75岁,55-70岁占多数36例(85％)。肿瘤部位中段35例,中下段6例,中上段1例。病变长度4-11cm,以5-8cm最多34例(81％)。术后病理分期(PINM)Ⅰ期0,Ⅱ期3例(7％),Ⅲ期33例(78％),Ⅳ期6例(14％)。腺癌2例,腺鳞癌1例,鳞癌39例。30例有食管旁淋巴结转移,1例有胃周①②⑦⑧⑨组淋巴结转移。所有标本两端切线均阴性。
From April 1994 to May 1996, our hospital had undergone the resection of esophageal cancer with right thoracic abdominal incision and 42 cases of complete gastroesophageal reconstruction with transesophageal bed and right pleura. This achieved satisfactory results. 1 Clinical data The group of 28 males and 14 females, aged 34-75 years old, 55-70 years old accounted for the majority of 36 cases (85%). Thirty-five cases were located in the middle part of the tumor, 6 cases in the middle and lower segments, and 1 case in the middle and upper segments. The lesions were 4-11cm in length and 5-8cm in 34 cases (81%). Postoperative pathological stage (PINM) was stage I 0, stage II 3 (7%), stage III 33 (78%), and stage IV 6 (14%). There were 2 cases of adenocarcinoma, 1 case of adenosquamous carcinoma and 39 cases of squamous cell carcinoma. 30 cases had paraesophageal lymph node metastases, and 1 case had lymph node metastasis in the 12789 group. All specimens were negative at both ends.