食管贲门癌围手术期处理及并发症的预防

作者收集十年来收治的５４例食管贲门癌患者资料进行分析。结果表明：肿瘤分布以食管中段为多（４８．１４％），贲门次之（２９．６３％），手术切除率达７９．６３％（４３／５４）。术后并发症共六种１２例（２２．２２％），以肺功能不全及吻合口瘘较为常见。手术死亡率为５．５６％，作者认为：充分地术前准备可使患者安全地渡过手术期，并有效地减少并发症的发生；良好的手术操作及术后护理是提高治愈率的关键。作者对食管贲门

TREATMENT OF PATIENTS WITH ESOPHAGUS AND CARDIA CANCERSAND PREVENTI0N OF COMPLICATIONS AT POSTOPERATIVE PERIOD

The author has collected and analysed the information on 54 cases ofesophagus and cardia cancers for past ten years. The result bas represented: Thedistribution of tumors takes the first place at the middle section of esophagus(48. 14% ) and the second place at cardia (29. 63% ). The operative resectabilityrate is 79. 63% (43/54). Twelve cases with six kinds of postoperative complicationsoccured (22. 22%). The incomplete pulmonary function and anastomotic leakageare more common. The operative mortality rate is 5. 56%. The author considers that the sufficient preoperative preparation make the patient safely spend the operative period and the complications reduced efficiently; the good operation and postoperative care are a key to enhance the cure rate. The author also discusses the prevention of main complications of patients with esophagus and cardia cancers at postoperative period.