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目的 探讨贲门癌的手术切口选择。方法 回顾性研究 1993年至 1998年收治的 6 0例贲门癌手术病人。结果 经腹手术组 18例 ,术后食管残端癌残留 7例 ,经胸腹手术组 42例 ,术后食管残端癌残留 0例。经腹组手术后 1、3、 5年生存期分别为 3/ 18(16 .6 6 % )、 11/ 18(6 4.44 % )、 4/ 18(2 2 .2 2 % ) ,经胸腹组手术后 1、 3、 5年生存率分别为1/ 42 (2 .38% )、 31/ 42 (73.81% )、 10 / 42 (2 3.84% ) ,无手术死亡病例 ,无吻合口瘘。结论 贲门癌术式应具体分析 ,笔者认为经积极术前准备 ,以经胸腹联合切口手术为佳 ,可减少食管残端癌残留情况 ,提高术后生存率
Objective To investigate the choice of surgical incision for cardiac cancer. Methods A retrospective study of 60 patients undergoing cardiac cancer surgery between 1993 and 1998 was performed. Results In the abdominal surgery group, 18 cases had residual esophageal stump cancer in 7 cases, 42 cases in thoracoabdominal surgery group, and 0 cases of residual esophageal stump cancer. The 1, 3, and 5-year survival periods of the abdominal group were 3/18 (16.66 %), 11/18 (6.44 %), and 4/18 (22.22 %) respectively. The 1-, 3-, and 5-year survival rates after surgery were 1/42 (2.38%), 31/42 (73.81%), and 10/42 (23.84%) respectively. There were no operative deaths and no anastomotic leakage. Conclusions Cardiac carcinoma surgery should be analyzed in detail. The author believes that after active preoperative preparation, combined thoracoabdominal incision surgery is better, which can reduce residual cancer in the esophageal stump and improve postoperative survival rate.