论文部分内容阅读
目的 提高胃上部癌外科治疗水平。方法 对94例胃上部癌采用了经腹正中切口或合并切除剑突及左第7～9肋弓软骨入路,行近端胃或全胃切除术。结果 全组病例发生吻合口瘘1例,食管断端癌残留3例和肺部感染8例,无肋软骨炎及胸膜损伤所致血气胸发生。结论 胃上部癌经腹入路暴露良好,创伤小,痛苦少,适用于食管无浸润或浸润小于1 cm的胃上部癌的患者。
Objective To improve the surgical treatment of upper gastric cancer. Methods Ninety-four patients with upper gastric cancer were treated with transabdominal median incision or combined excision of the xiphoid and the left seventh to the 9th arched cartilage, and proximal or total gastrectomy. Results One case of anastomotic fistula, three cases of residual esophageal cancer and eight cases of lung infection were included in the study. No pneumochondria and pleural damage were caused by pneumothorax. Conclusion Upper gastric cancer is well exposed via the abdominal approach, with less trauma and less pain. It is suitable for patients with upper gastric cancer with no esophageal invasion or infiltration of less than 1 cm.