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目的探讨经胸及经腹入路治疗食管胃结合部腺癌(AEG)的效果。方法选取2012年7月至2014年7月SiewertⅡ型AEG患者78例,根据手术入路方式分为两组,39例经胸入路作为经胸组,39例经腹入路作为经腹组,比较两组手术时间、淋巴结清扫数目及住院时间。结果经腹组清扫淋巴结数目为(11.34±1.27)枚,住院时间为(13.76±2.30)d,均优于经胸组,差异有统计学意义(P<0.05)。结论与胸入路相比,经腹入路可清扫更多淋巴结,缩短住院时间。
Objective To investigate the effect of transthoracic and transabdominal approach on esophagogastric junctional adenocarcinoma (AEG). Methods From July 2012 to July 2014, 78 patients with Siewert Ⅱ type AEG were divided into two groups according to the surgical approach: 39 patients underwent transthoracic transthoracic surgery and 39 patients underwent transabdominal approach. The operation time, number of lymph node dissection and hospital stay were compared between the two groups. Results The number of lymph nodes in the transabdominal group was (11.34 ± 1.27), and the length of stay in hospital was (13.76 ± 2.30) days, both of which were better than those of the thoracic group. The difference was statistically significant (P <0.05). Conclusion Compared with the chest approach, transabdominal approach can clear more lymph nodes and shorten the hospital stay.