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目的比较经腹与经胸两种手术入路临床疗效,探讨贲门癌根治术合理径路。方法回顾分析2001年6月至2006年6月经胸、经腹两种途径行贲门癌根治术60例患者的临床资料,其中经胸组28例,经腹组32例,对两组手术情况、下切缘残留癌、术后并发症、术后近期生活质量等进行比较。结果两种径路手术的切缘阳性率、平均淋巴结清扫数、术后平均住院时间、术后并发症、5年生存率差异均无统计学意义(P>0.05),术后近期生活质量经腹组明显占优(P<0.05)。结论经腹手术可达根治目的,较经胸手术有优越性,在适应证范围内,应首先考虑经腹手术。
Objective To compare the clinical effects of transabdominal and transthoracic two kinds of surgical approach to explore the reasonable path of radical operation of cardia cancer. Methods The clinical data of 60 patients undergoing cardia cancer radical surgery between June 2001 and June 2006 were retrospectively analyzed. Among them, 28 patients in the transthoracic group and 32 patients in the transabdominal group were included in the study. The clinical data, Lower margin of the residual cancer, postoperative complications, postoperative short-term quality of life were compared. Results There was no significant difference in positive rate of margins, average number of lymph nodes dissection, average postoperative hospital stay, postoperative complications and 5-year survival rate between the two approaches (P> 0.05) The group was obviously dominant (P <0.05). Conclusions Transabdominal surgery can reach the goal of radical treatment, which is superior to transthoracic surgery. In the scope of indication, transabdominal surgery should be considered first.