| 经胸和经腹手术治疗贲门癌临床分析 |
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| 引用本文： | 张高峰,孙战文,朱汉训.经胸和经腹手术治疗贲门癌临床分析[J].中国现代手术学杂志,2009,13(6). |
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| 作者姓名： | 张高峰 孙战文 朱汉训 |
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| 作者单位： | 湖北省黄石市中心医院心胸外科,黄石,435000 |
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| 摘 要： | 目的比较经胸和经腹入路治疗贲门癌的临床效果。方法经胸入路65例(经胸组),均行左后外侧切口经6、7肋间进胸手术;经腹入路47例(经腹组),行经腹贲门癌根治术。结果两组手术时间、术中出血量比较无差异。经腹组上切缘癌残留率达25.5%(12/47),明显高于经胸组的1.5%(1/65),P<0.01。两组无围术期死亡,近期并发症无差异。经胸组、经腹组获随访人数分别为58例和42例,反流性食管炎的发生率分别为13.8%(8/58)vs.31.0%(13/42),吻合口狭窄分别为5.2%(3/58)vs.21.4%(9/42),差异显著(P<0.05);1,3,5年生存率分别为56.9%vs.52.4%,41.4%vs.35.7%,31.0%vs.28.6%,无明显差异(P>0.05)。结论经胸入路手术治疗贲门癌具有手术彻底、术后并发症少的优点,值得推广应用。
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| 关 键 词： | 胃肿瘤 贲门 |
Comparison of Transabdominal and Transthoracic Surgical Approaches for Cardia Cancer |
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| ZHANG Gao-feng,SUN Zhan-wen,ZHU Han-xun.Comparison of Transabdominal and Transthoracic Surgical Approaches for Cardia Cancer[J].Chinese Journal of Modern Operative Surgery,2009,13(6). |
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| Authors: | ZHANG Gao-feng SUN Zhan-wen ZHU Han-xun |
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| Institution: | ZHANG Gao-feng; SUN Zhan-wen; ZHU Han-xun(Department of Cardiothoracic Surgery; Central Hospital of Huangshi; Huangshi 435000; Hubei; China); |
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| Abstract: | Objective To explore the optimal surgical approach for carcinoma in the gastric cardia.Methods 112 cases of cardia cancer were analyzed retrospectively.The cases were divided into two groups according to the surgical approaches,which was the transthoracic group(65 patients)and transabdominal group(47 patients).Results The operations were accomplished without death in all patients.It showed the significant difference(P<0.01)between the transthoracic group and the transabdominal group of the cancer residue... |
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| Keywords: | sstomach neoplasms cardia |
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