改良式左胸腹联合左颈二切口在食管癌根治术中的应用(附21例临床分析)

目的探讨改良式左胸腹联合左颈二切口在食管下段癌根治术中的应用. 方法对2002年2月至2003年6月采用了改良式左胸腹联合左颈二切口根治术的21例食管下段癌患者的手术时间、手术并发症、上腹部淋巴结清扫范围进行回顾性分析. 结果改良式左胸腹联合左颈二切口根治术能有效的简化了手术操作步骤,减少了手术创伤及并发症,扩大了腹内淋巴结清扫范围. 结论改良式左胸腹联合左颈二切口根治术是食管下段癌患者的较理想的术式.

Lelt Thoracolaparotomy and Left Cervical Apporach in Radical Esophagectomy of Distal Esophageal Carcinoma

Objective To study left thoracolaparotomy and left cervical approach in radical esophagectomy of distal esophageal carcinoma. Methods From February 2002 to June 2003, We retrospectively investigated operation-related time, complication, lymph node dissection in 21 esophageal carcinoma patients who were performed with radical esophagectomy, inferior mediastinal and abdominal lymph mude dissection, left cervical esophagogastrostomy through left thoracolaparotony and left cervical approach. Results The left thoracolaparotomy can left cervical approach simplified the operative procedure, reduced the injury, decreased the complication, and amplified the extend of inferior mediastinal and upper abdominal lymph node dissection. Conclusions Esophagogostrostomy through left thoracolaparotomy and left cervical approach was more satisfactory operative procedure in radical esophagectomy of distal esophageal carcinoma.