局解手术学杂志Issue(1)：41-43,3.DOI:10.11659/jjssx.1672-5042.201401015
食管癌Ivor-Lewis和Sweet手术的解剖病理学评价
Anatomical and pathological evaluation of Ivor-Lewis and Sweet for esophageal carcinoma operation
摘要
Abstract
Objective In order to improve the surgical treatment for midpiece esophageal carcinoma, different surgical ways were com-pared. Methods From January 2010 to June 2012, 110 patients with midpiece esophageal cancer in our hospital were divided into the Ivor-Lewis group (55 cases) and the Sweet group (55 cases) according to different surgical ways, that is to say Ivor-Lewis surgery via right chest and Sweet surgery through left chest. Length of specimens, rang of tumor invasion, distance of removal, incidence of residual carcinoma in the esophageal edges, number of lymph nodes removed in chest and abdomen, and positive rate of carcinoma infiltrated lymph nodes were compared between the two groups. Questions of surgical anatomy were investigated through questionnaire among surgeons of the two groups, and the scores of both groups were analysed. Results The length of resected specimens and number of lymph nodes removed in Ivor-Lewis group was significantly lager than that of the Sweet group (P<0. 01). The positive rate of carcinoma infiltrated lymph nodes in Ivor-Lewis group was 1. 82%, which was significantly lower than 21. 82% in the Sweet group (P<0. 01). Results of questionnaire showed surgeons have gieven higher scores to Ivor-Lewis group. Conclusion Ivor-Lewis surgery is recommend for upper and midpiece esophageal carcinoma while Sweet surgery is more suitable for cardial and lower esophageal cancer.关键词
食管癌/肿瘤部位/手术方式/Ivor-Lewis/SweetKey words
esophageal cancer/tumor location/surgery/Ivor-Lewis/Sweet分类
医药卫生引用本文复制引用
周钢,邢宇彤,窦鹏挥,戚家峰,罗艳卓..食管癌Ivor-Lewis和Sweet手术的解剖病理学评价[J].局解手术学杂志,2014,(1):41-43,3.基金项目
黑龙江省卫生厅科技立项课题(2010-516) （2010-516）
