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目的探讨胃底贲门癌手术治疗的最佳方法。方法对比分析经腹或经胸两种手术方法对病人的影响,讨论手术操作要点及并发症的预防措施。结果经胸手术者术中均需输血平均600ml,经腹手术者仅极少数需输血400ml,术后平均住院时间经胸者15d,经腹者10d,两种手术方法切除的标本经病理检查证实切端均无癌细胞残留。结论胃底贲门癌经腹手术效果较好。
Objective To explore the best method for surgical treatment of gastric cardia cancer. Methods The effects of abdominal or transthoracic surgery on patients were analyzed and compared. The main points of surgical operation and preventive measures for complications were discussed. Results Transthoracic surgery required an average of 600ml blood transfusion in all patients. Only a small number of transabdominal operations required transfusion of 400ml. The average length of hospital stay was 15 days after transthoracic operation, and 10 days after abdominal operation. The specimens removed by the two surgical methods were confirmed by pathological examination. There were no cancerous residues in the cut ends. Conclusion Gastric cardia cancer is effective in abdominal surgery.