| 微创肌肉非损伤性开胸术治疗贲门肿瘤 |
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| 引用本文： | 陈海泉,胡运州,周建华,孙艺华,周贤.微创肌肉非损伤性开胸术治疗贲门肿瘤[J].中国微创外科杂志,2004,4(1):26-26,40. |
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| 作者姓名： | 陈海泉 胡运州 周建华 孙艺华 周贤 |
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| 作者单位： | 上海交通大学附属第六人民医院胸心外科,上海,200233 |
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| 摘 要： | 目的探讨微创肌肉非损伤性开胸行贲门肿瘤手术的可行性. 方法采用经左胸第7肋间微创肌肉非损伤性开胸行贲门肿瘤手术25例. 结果 20例贲门腺癌,4例鳞癌,行近端胃大部和食管下段切除,残胃-食管胸内吻合术.1例贲门部增生型息肉,行胃底切开,肿瘤摘除术.全组患者无围术期严重并发症,无手术死亡. 结论微创肌肉非损伤性开胸术操作简单,暴露充分,对相对早期的贲门癌是一种可选择的手术方法.
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| 关 键 词： | 肌肉非损伤性开胸术 贲门癌 |
| 文章编号： | 1009-6604(2004)01-0026-02 |
Minimally invasive muscle-sparing thoracotomy for gastric cardia tumor |
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| Abstract: | Objective To investigate the feasibility of minimally invasive muscle-sparing thoracotomy for gastric cardia tumor. Methods Minimally invasive muscle-sparing thoracotomy through the left 7th intercostal space was performed in 25 patients with gastric cardia tumor. Results Proximal gastrectomy and lower esophagectomy combined with esophagogastroanastomosis was performed in 20 patients with adenocarcinoma of gastric cardia and 4 patients with squamous cell carcinoma. Gastric fundus incision and tumor resection was conducted in 1 patient with hyperplastic polyps of gastric cardia. No perioperative mortality or serious complications were seen. Conclusions Minimally invasive muscle-sparing thoracotomy is simple and offers good exposure, being an alternative for carcinoma of gastric cardia in relatively early stages. |
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| Keywords: | Muscle-sparing thoracotomy Carcinoma of gastric cardia |
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