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目的研究贲门癌手术径路的临床价值。方法选取60例贲门癌手术病例,经胸35例,经腹25例,分析二种径路手术的切端阳性率,平均淋巴结清扫数,围手术期死亡率,5年生存率,术后并发症发生率,术后平均恢复时间。结果二种径路手术的术后并发症发生率,术后平均恢复时间等有显著性差异(P<0.05)。结论贲门癌手术方式应以经腹手术为首选。
Objective To study the clinical value of surgical approach of cardia cancer. Methods Sixty cases of cardia cancer were selected, 35 cases of transthoracic and 25 cases of transabdominal. The positive rate of incision, average number of lymph nodes dissection, perioperative mortality, 5-year survival rate and postoperative complication Rate, average recovery time after surgery. Results The incidences of postoperative complications and average postoperative recovery time were significantly different between the two approaches (P <0.05). Conclusion The operation of cardia cancer should be the first choice of abdominal surgery.