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位于贲门部的胃癌手术方法较多,多采用胸腹联合或左开胸手术,自1991年来我院对经腹贲门癌根治术进行一些改进,解决了食管切除不足及吻合困难两大难题。报道如下。 1 资料与方法 1.1 一般资料:本组经腹可切除贲门癌100例,男62例,女38例,最小年龄22岁,最大年龄82岁。病理类型:腺癌75例,粘液腺癌10例,低分化及未分化癌15例。临床分型:BorranⅠ型15例,Ⅱ型66例,19例为虽属晚期但伴有心肺功能不全、年老贫血等患者。 1.2 手术方法:选择肋弓角较大的患者,气管
There are many surgical methods for gastric cancer in the cardia department. Thoracic-abdominal joint or left thoracotomy are used in many cases. Since 1991, our hospital has carried out some improvements in radical gastrectomy and cancer resection to solve the two major problems of insufficient esophagectomy and anastomosis. The report is as follows. 1 Materials and Methods 1.1 General Information: The group of abdominal resection of 100 cases of cardiac cancer, 62 males and 38 females, the minimum age of 22 years, the maximum age of 82 years. Pathological types: 75 cases of adenocarcinoma, 10 cases of mucinous adenocarcinoma, 15 cases of poorly differentiated and undifferentiated carcinoma. Clinical classification: 15 cases of Borran I type, 66 cases of type II, 19 cases are patients with advanced disease but with cardiopulmonary insufficiency and old age. 1.2 surgical methods: Select patients with large rib angle, trachea