| 切除左肋弓软骨显露食管裂孔行胃上部癌肿切除的技巧 |
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| 引用本文： | 陈志新,胡建昆,宁芳,陈佳平,程中,文天夫. 切除左肋弓软骨显露食管裂孔行胃上部癌肿切除的技巧[J]. 中国普外基础与临床杂志, 1999, 6(3): 154-155 |
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| 作者姓名： | 陈志新 胡建昆 宁芳 陈佳平 程中 文天夫 |
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| 作者单位： | 华西医科大学附属第一医院普外科,成都,610041 |
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| 摘 要： | 作者对３２例胃上部癌肿采用经腹正中切口合并切除剑突及左第７－９肋弓软骨入路，行近端胃或全胃切除术。结果：全组部例均未发生肋软骨炎及左侧胸膜损伤气胸，也无肺肺并发症及吻合口瘘的发生，但发生食管断端癌残留１例和肋软骨床积液１例。
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| 关 键 词： | 胃癌 外科手术 肋弓软骨切除 |
UPPER GASTRIC CANCERS RESECTED VIA A TECHNIQUE OF EXPOSING ESOPHAGEAL FORAMEN BY RESECTION OF LEFT RIB MARGIN |
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| Chen Zhixin,Hu Jian Kun,Ning Fang,et al.. UPPER GASTRIC CANCERS RESECTED VIA A TECHNIQUE OF EXPOSING ESOPHAGEAL FORAMEN BY RESECTION OF LEFT RIB MARGIN[J]. Chinese Journal of Bases and Clinics In General Surgery, 1999, 6(3): 154-155 |
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| Authors: | Chen Zhixin Hu Jian Kun Ning Fang et al. |
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| Affiliation: | Chen Zhixin,Hu Jian Kun,Ning Fang,et al. Department of General Surgery,First Affiliated Hospital,West China University of Medical Sciences,Chengdu 610041 |
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| Abstract: | The effect of proximal subtotal or total gastrectomy by choosing abdominal median incision plus left 7-9 ribs resection in 32 cases of upper gastric cancer had been studied. There was 1 case of residual tumor cells at the esophageal margin, 1 case of hydrothorax and hydrops of costal bed, no costal chondritis, pneumothorax and fistula formation. We consider that it is better to choose abdominal median incision plus left ribs resection in patients with upper gastric cancer in which subphrenic esophageal invasion is under 2cm of length and the function of heart or lung is severely damaged. |
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| Keywords: | Gastric cancer Operation Rib margin resection |
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