论文部分内容阅读
目的探讨贲门癌手术的合适径路。方法回顾性分析100例贲门癌手术的临床资料。结果经腹(68例)、经胸(32例)两种手术径路的切缘癌残留率、平均清扫淋巴结数目、吻合口瘘发生率、5年生存率差异均无统计学意义(P>0.05);经腹组手术时间短于经胸组[(2.18±0.03)hvs.(2.99±0.08)h],平均输血量少于经胸组[(218.75±23.72)ml vs.(337.50±32.96)ml],术后平均住院时间短于经胸组[(13.49±0.13)d vs.(16.34±0.38)d](P<0.01)。经腹组心肺并发症少于经胸组(7例vs.14例)(P<0.05)。结论经腹径路是贲门癌手术较好的选择。
Objective To investigate the appropriate path of cardia cancer surgery. Methods A retrospective analysis of 100 cases of cardia cancer surgery clinical data. Results There were no significant differences in the residual rate of marginal carcinoma, the number of dissected lymph nodes, the incidence of anastomotic fistula and the 5-year survival rate between the two operative approaches (68 cases) and transthoracic (32 cases) (P> 0.05 ). The mean transfusion volume in transabdominal group was shorter than that in transthoracic group [(2.18 ± 0.03) hvs. (2.99 ± 0.08) h] ml]. The average postoperative hospital stay was shorter than that of the thoracic group [(13.49 ± 0.13) d vs. (16.34 ± 0.38) d] (P <0.01). Cardiopulmonary complications in the transabdominal group were less than those in the transthoracic group (7 vs. 14) (P <0.05). Conclusion Transabdominal route is a better choice for cardiac surgery.