| 食管癌术中胸导管预防结扎连续1031例无乳糜胸手术经验 |
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| 引用本文： | 杨立伟,何明,陈龙奇,国建飞,白世祥.食管癌术中胸导管预防结扎连续1031例无乳糜胸手术经验[J].中国肿瘤临床,2006,33(11):636-637. |
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| 作者姓名： | 杨立伟 何明 陈龙奇 国建飞 白世祥 |
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| 作者单位： | 河北医科大学第四医院胸二科,石家庄市,050011 |
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| 摘 要： | 目的:总结1031例食管癌术中结扎胸导管预防乳糜胸经验。方法:术中于膈上5cm处将胸导管、奇静脉及其间组织一并大块结扎。结果:1031例食管癌切除无术后乳糜胸。结论:采用低位膈上胸导管大块结扎预防食管癌切除术后乳糜胸操作简便,安全可靠。
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| 关 键 词： | 食管肿瘤 乳糜胸 胸导管 |
| 文章编号： | 1000-8179（2006）10-0636-02 |
| 收稿时间： | 2005-09-29 |
| 修稿时间： | 2005-09-292006-02-06 |
Preventive Ligation of the Thoracic Duct during Esophagectomy:Surgical Experience of 1 031 Chylothorax-free Cases |
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| Yang Li-wei, He Ming, Chen Longqi, et al.Preventive Ligation of the Thoracic Duct during Esophagectomy:Surgical Experience of 1 031 Chylothorax-free Cases[J].Chinese Journal of Clinical Oncology,2006,33(11):636-637. |
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| Authors: | Yang Li-wei He Ming Chen Longqi |
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| Institution: | Department of Thoracic Surgery, No. 4 Hospital of Hebei Medical University, Shijiazhuang |
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| Abstract: | Objective: To summarize our surgical experience with ligation of the thoracic duct during esophagectomy to prevent chylothorax on 1 031 cases with esophageal carcinoma. Methods: During surgery, the thoracic duct was preventively ligated en bloc with the azygos vein and surrounding tissues at 5cm above the diaphragm. Results: In the 1 031 cases there is no postoperative chylothorax. Conclusion: It is safe and reliable to apply the low-set and supradiaphragmatic en bloc ligation of surrounding tissues with the thoracic duct for prevention of chylothorax following esophagectomy. |
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| Keywords: | Esophageal carcinoma Chylothorax Thoracic duct |
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