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老年人食管癌、贲门癌的外科治疗
引用本文:唐震,李小军,王海涛. 老年人食管癌、贲门癌的外科治疗[J]. 蚌埠医学院学报, 2001, 26(3): 211-212
作者姓名:唐震  李小军  王海涛
作者单位:蚌埠医学院附属医院 心胸外科,;蚌埠医学院附属医院 心胸外科,;蚌埠医学院附属医院 心胸外科,
摘    要:目的:总结老年人食管癌、贲门癌的外科治疗经验。方法:264例中手术切除肿瘤247例,切除率为93.56%,其中胃食管弓上吻合术126例,弓下吻合术93例,右侧胸顶部吻合术10例,颈部吻合术18例。结果:吻合口瘘2例,其中1例死于呼吸衰竭,1例治愈,肺部感染21例,且有1例死于呼吸衰竭,心脏并发症14例,结论:通过加强围术期的管理,老年人食管癌、贲门癌的外科治疗效果是满意的。

关 键 词:食管肿瘤    贲门  外科  手术
文章编号:1000-2200(2001)03-0211-02
修稿时间:2000-08-06

Surgical treatment of carcinoma of the esophagus and cardia in the elderly
TANG Zhen,LI Xiao jun,WANG Hai tao. Surgical treatment of carcinoma of the esophagus and cardia in the elderly[J]. Journal of Bengbu Medical College, 2001, 26(3): 211-212
Authors:TANG Zhen  LI Xiao jun  WANG Hai tao
Abstract:Objective:To summarize the experience in surgical treatment of carcinoma of esophagus and cardia in the elderly.Methods:The tumours in 247 patients were resected(93.56%).The anastomosis of gastroesophagus was performed at above the arch of aorta in 126 cases,at under the arch of aorta in 93 cases,at the top of right thoracic cavity in 10 cases and at the neck in 18 cases.Results:Two patients manifested leaks of anastomoses.One died of respiratory failure and the other was cured.The complications of lungs were found in 21 cases and one of them died of respiratory failure.The complications of heart were observed in 14 cases.Conclusions:With careful perioperative management,surgical treatment of carcinoma of the esophagus and cardia in the elderly may achieve a satisfactory result.
Keywords:esophageal neoplasms  carcinoma  cardia  surgery  operative  
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