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目的:探讨贲门癌切口径路的选择,以求彻底切除病灶及清除转移淋巴结。方法:采用胸腹联合切口46例,经腹259例,经胸617例。比较胸内下段食管旁、幽门上、肝动脉旁淋巴结转移及清除率。结果:胸腹联合切口组胸内食管旁淋巴结转移率13.04%,幽门上、肝动脉旁淋巴结转移率19.56%,均得到清除,没有发生呃逆及残胃排空延缓。结论:贲门癌患者应根据患者情况选择采用胸腹联合切口手术。
Objective: To explore the choice of incisional approach for cardia cancer in order to completely remove the lesion and remove the metastatic lymph nodes. Methods: Thoracoabdominal incision with 46 cases, 259 cases of abdominal, 617 cases of transthoracic. Lower thoracic esophageal parahippocampal pylorus, hepatic artery lymph node metastasis and clearance rate. Results: Thoracic and abdominal incision group thoracic esophageal lymph node metastasis rate of 13.04%, pyloric, hepatic artery lymph node metastasis rate of 19.56%, were cleared, no hiccups and residual gastric emptying delay. Conclusion: Cardiac cancer patients should choose thoracoabdominal incision surgery according to the patient’s condition.