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胸中下段食管癌的外科治疗
引用本文:高宗礼,林擎天.胸中下段食管癌的外科治疗[J].中华肿瘤防治杂志,2000,7(1).
作者姓名:高宗礼  林擎天
作者单位:上海市,上海市第六人民医院胸外科,200233
摘    要:目的 :探讨胸中下段食管癌的合理手术治疗方法。方法 :分析、比较 95例胸中下段食管癌不同手术入路的治疗效果。结果 :右进胸的切除率为 98 4 % ,左进胸为 86 6% ,总切除率为 93 6% ,吻合口瘘发生率为 2 2 % ,吻合口狭窄的发生率为 1 1%。结论 :胸中下段食管癌切除以做右胸、上腹切口为佳 ,胸下段食管癌行左胸切口 ,一层缝合法效果良好

关 键 词:食管肿瘤  手术治疗  吻合口瘘  吻合口狭窄

The surgical treatment of middle and lower thoracic esophageal carcinoma
GAO Zong-li,LIN Qing-tian.The surgical treatment of middle and lower thoracic esophageal carcinoma[J].Chinese Journal of Cancer Prevention and Treatment,2000,7(1).
Authors:GAO Zong-li  LIN Qing-tian
Abstract:Objective:To investigate the surgical treatment of middle and lower thoracic esophageal carcinomaMethods:Analyze the effect of middle and lower thoracic esophageal carcinoma in 95 casesResults:The resection rate through right thoracic incision was 984% and through left thoracic incision was 866%The overall rate of resection was 936%The rate of anastomotic leakage was 22%,and anastomotic stricture was 11%Conclusions:Right thoracic incision was better for middle thoracic esophageal carcinoma and left thoracic incision adapted for lower esophageal carcinoma
Keywords:esophageal carcinoma  anastomotic leakage  anastomotic stricture
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