中国现代手术学杂志2012,Vol.16Issue(3):198-199,2.
经右胸入路结合管状胃在食管癌手术中的应用
Right Chest Approach Combined with Application of Tubular Stomach in Surgery of Esophageal Carcinoma
郑勇 1黄进启1
作者信息
- 1. 湖北省恩施自治州中心医院心胸外科,恩施445000
- 折叠
摘要
Abstract
Objective To discuss the application value and its mean operative points in the right chest approach combined with tubular stomach in surgery of esophageal carcinoma. Methods The di-ineision or tri-incision esophageal resection was undergone by the right chest approach in 106 patients. And the tubular stomach was used for the reconstruction of the digestive tract. The clinical data of the patients was analyzed retrospectively. Results After operation, all the cases recovered well except 1 of cervical anastomotic fistula, 1 of anastomotic stricture and 12 of recurrent laryngeal nerve injury. No serious chest stomach syndrome, nor gastric emptying disorder. The systematic lymph node got dissected completely. Conclusions It is more suitable for the complete excision of tumor and lymph node dissection of the di-incision or tri-incision esophageal resection by the right chest approach. And the tubular stomach is more conformable to the physiology and anatomy of digestive tract reconstruction requirements, and can significantly reduce the risks and complications after operation.
关键词
食管肿瘤/胸廓切开术/食管胃接合处Key words
esophageal neoplasms/ thoractomy/ esophagogastric junction分类
医药卫生引用本文复制引用
郑勇,黄进启..经右胸入路结合管状胃在食管癌手术中的应用[J].中国现代手术学杂志,2012,16(3):198-199,2.