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目的 探讨贲门癌手术的最佳径路。方法 将 1990年 1月至 2 0 0 2年 1月我们手术治疗的贲门癌病人 462例 ,按三种常见的手术径路分成三组 ,对其切除率、残留癌发生率、术中意外损伤及术后并发症进行比较分析。结果 左胸后外侧切口术中意外损伤较多 ;上腹正中切口上端残留癌的发生率较高 ;胸腹联合切口切除率较高 ,且切除彻底 ,意外损伤少。结论 应根据不同病人的具体情况 ,选择合适的手术径路。
Objective To explore the best path of cardia cancer surgery. Methods From January 1990 to January 2002, 462 patients with cardiac cancer who underwent surgery were divided into three groups according to three common surgical approaches. The resection rate, incidence of residual cancer, accidental injury in operation, Postoperative complications were compared. Results The left thoracotomy had more accidental injuries in the lateral incision. The incidence of residual cancer in the upper incision was higher. The incision rate of thoracoabdominal incision was higher, and the excision was complete and the accidental injury was less. Conclusions should be based on the specific circumstances of different patients, choose the appropriate surgical approach.