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食管癌与贲门癌病灶切除后,采用胃与食管胸内吻合是目前最常采用的手术方式.现结合我院手术治疗的食管癌与贲门癌病例,对其近期疗效进行对比分析.1 临床资料我院1985～1995年经左侧开胸手术治疗食管癌和贲门癌313例患者中,采用胃与食管吻合术者294例.其中食管癌140例,男127例、女13例,年龄31～74岁、平均年龄56岁;贲门癌154例,男137例、女17例,年龄28～73岁、平均年龄51岁.根治术的手术范围是切除肿瘤及上下端5cm以上的食管或胃组织,同时清除局部肿大的淋巴结.姑息术是指术中可见肿瘤组织残留.转流术采用胃与食管胸内端侧吻合.
After the resection of esophageal and cardiac cancer lesions, the use of gastric and esophageal intrathoracic anastomosis is currently the most commonly used surgical method. Now combined with our hospital surgical treatment of esophageal and cardiac cancer cases, the comparative analysis of its short-term efficacy. 1 clinical data From 1985 to 1995 in our hospital, 313 patients with esophageal and cardiac cancer were treated with open thoracotomy on the left side, and 294 cases were treated with gastric and esophageal anastomosis. Among them, 140 cases were esophageal cancer, 127 cases were male and 13 cases were female, aged 31~ 74 years old, average age 56 years old; 154 cases of cardiac cancer, 137 males and 17 females, aged 28-73 years, mean age 51 years. The scope of radical surgery is removal of the tumor and the esophagus or stomach tissue above and below 5cm. , At the same time, the removal of locally enlarged lymph nodes. Palliative operation refers to the residual tumor tissue visible in the operation. The transgastric operation uses an intra-thoracic and esophageal end-to-side anastomosis.