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在食管癌的手术治疗上,对于经胸和经食管裂孔这两种手术径路的评价,至今仍有激烈的争论,究竟应该如何看待经裂孔切除这一术式,尤其是它在治疗胸段食管癌中的所占地位究竟如何,确实应该有一个比较明确地认识。作者详细分析对比了这两种手术径路的优缺点,并提出了自己的看法:1.两种手术径路均能完成次全食管切除和颈部吻合,其术中出血量、死亡率与并发症发生率两者也相仿,但经裂孔径路手
In the surgical treatment of esophageal cancer, there are still fierce debates on the evaluation of the two surgical approaches for transthoracic and transesophageal hiatus. How should we treat the operation of the resection of the hole, especially in the treatment of the thoracic esophagus? It is true that there should be a relatively clear understanding of the status of cancer. The author analyzes and compares the advantages and disadvantages of the two surgical approaches in detail and presents their own views: 1. Both subtotal esophagectomy and neck anastomosis can be performed on both surgical routes. The intraoperative blood loss, mortality and complications The incidence rate is also similar, but the cracker aperture driver