贲门癌手术径路与并发症的关系

目的　探讨贲门癌的手术径路与并发症的关系。方法　总结 4 6 9例贲门癌切除患者左进胸切口与胸腹联合切口常见并发症的差异。结果　 2种切口的手术切除率分别为 74 .93%、84 .98% (P <0 .0 1) ;术中脾损伤、脾切除发生率分别为 3.2 5 %、0 .93% (P <0 .0 5 ) ;肺部感染、吻合口漏、切口感染发生率相似 (P >0 .0 5 )。结论　贲门癌切除术胸腹联合切口切除率高 ,不增加并发症的发生。

The operative approach of cardiac carcinoma and its complications

Objective To discuss the relationship between the operative approach of cardiac carcinoma and its complications.?Methods The study included 469 cases of resected cardiac carcinoma. The operative approaches were left breast entrance and combined thoraco-abdominal entrance. X2 test was used to compare the results from the two procedures.?Results In the cases of breast approach and thoraco-abdominal approach, the respectability was 74.93% and 84.98% respectively; the incidence of spleen damage and related spleen resection was 3.25% and 0.93% respectively. Lung infection, anastomatic leakage and wound infection showed no statistical significance (P>0.05).?Conclusion The combined thoraco-abdominal approach of cardiac carcinoma is better than the left breast approach, with apparently less complications.