原发颈胸交界部非肺源性肿瘤的外科治疗

目的：探讨原发颈胸交界部非肺源性肿瘤外科治疗的手术方法及要点。方法：9例原发颈胸交界部非肺源性肿瘤施行手术，经左颈斜切口1例，颈横切口5例，颈横切口＋胸骨正中劈开切口1例，纵隔镜＋右前外侧切口胸腔镜1例，右颈斜切口＋右胸后外侧切口1例。结果：全组无手术死亡。术后随访时间2个月~52个月，1例患者因其他疾病死亡，余患者健在。结论：颈胸交界部肿瘤因来源多样，术前明确肿瘤来源及判断肿瘤性质对于手术至关重要。大多数原发颈胸交界部非肺源性肿瘤，尤其对于良性肿瘤，均可经颈部切口完成手术，如术中操作困难，可联合胸骨正中切口或胸外侧切口。

The surgical treatment for the primary nonbronchogenic tumor of the cervicothoracic junction

Objective:To study the operative method and key points of surgical treatment for the primary nonbron-chogenic tumor of the cervicothoracic junction. Methods:Nine cases were performed for tumor resection,left cervical oblique incision 1,transverse cervical incision 5,transverse cervical incision combined sternotomy splitting incision 1, mediastinoscopy combined thoracoscopy with right anteriorlateral incision 1,right cervical oblique incision combined right posterolateral thoracotomy 1. Results:There were no operative death. The follow - up period ranged from 2 months to 52 months,one patient died of other dieases,the other patients alive. Conclusion:The cervicothoracic junc-tion tumors have diverse source,it′s very important to determine the origin and property of the tumors before operation. For the majority of the tumors of the cervicothoracic junction,especially for benign tumors,the operation through neck incision was feasible,if it is difficult in operation,we can combined with median sternotomy or lateral thoracotomy.