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目的分析探讨不同手术入路用于食管癌贲门癌术后并发症发生风险。方法选取我院2008年5月-2011年5月收治的食管癌贲门癌患者84例采取随机数字表法分为四组,每组21例,进行不同入路手术,左胸后外侧入路(A组),胸腹部正中联合入路(B组),右胸后外侧入路(C组),上腹部正中入路(D组)。比较四种不同入路手术患者临床并发症、淋巴结清扫枚数及3年后生存率。结果 A组并发症率16.66%,B组10.71%,C组19.04%,D组15.47%。四组中B组淋巴结清扫数最佳(14.3±2.3)。3年后患者生存率B组最高71.42%。结论不同手术入路用于食管癌贲门癌各有优劣,应根据患者具体情况选择入路方案最为关键。
Objective To analyze the risk of postoperative complications of esophageal and gastric cardia cancer under different surgical approaches. Methods Eighty-four patients with esophageal and gastric cardia cancer who were admitted to our hospital from May 2008 to May 2011 were randomly divided into four groups (n = 21). The patients underwent different surgical approaches and the left posterolateral approach A group), the middle thoracoabdominal combined approach (B group), the right lateral thoracic approach (C group), the middle abdominal approach (D group). The clinical complications, the number of lymph node dissection and the survival rate after 3 years were compared between the four different surgical approaches. Results The complication rate of group A was 16.66%, group B was 10.71%, group C was 19.04% and group D was 15.47%. Among the four groups, the number of lymph node dissection in group B was the best (14.3 ± 2.3). Three years later, the highest survival rate in group B was 71.42%. Conclusion Different surgical approaches for the treatment of esophageal and gastric cardia have their own advantages and disadvantages, and the most important choice of the approach should be based on the specific circumstances of patients.