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目的:探讨如何正确地选择贲门癌的手术入路。方法:对1996年1月—2004年1月贲门癌手术192例进行回顾性分析。结果:全组192例,经胸手术88例,胸腹联合手术56例,单纯经腹手术48例,全组无手术死亡,无吻合口瘘的发生。对可疑有上切缘癌残留者,常规行术中冷冻切片,以防止切缘癌残留。结论:贲门癌手术应根据上消化道造影片、内镜,必要时可行CT检查,判断病变侵犯程度,了解病变范围及患者的身体情况,选择合适的手术入路,以提高手术切除率及根治性,不可选择单一入路的手术方式。
Objective: To explore how to correctly select the surgical approach of cardia cancer. Methods: A retrospective analysis was performed on 192 cases of cardia cancer surgery from January 1996 to January 2004. Results: The whole group consisted of 192 cases, 88 cases of thoracotomy, 56 cases of thoracoabdominal surgery, and 48 cases of simple abdominal surgery. There was no operative death and no anastomotic fistula in the whole group. Survivors of the suspicious margin on the margin, routine routine intraoperative frozen section, in order to prevent residual margin cancer. Conclusion: Cardiac cancer surgery should be based on upper gastrointestinal tract imaging, endoscopy, if necessary, feasible CT examination to determine the extent of lesions to understand the extent of the lesion and the patient’s physical condition, select the appropriate surgical approach to improve the resection rate and radical , Can not choose a single approach to surgery.