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目的探讨经颈、胸骨上段入路,并颈野、上纵隔、腹野淋巴结清扫治疗胸廓入口处食管癌的可行性。方法 6例病人中,取颈部唇形切口、胸骨上段及腹正中切口。清扫颈部、上纵隔、腹腔淋巴结。直视分离肿瘤,拔脱下段食管,行颈部食管胃吻合。结果手术均为根治性,平均清扫淋巴结38枚,平均手术时间350min,平均出血375mL,平均术后住院时间29d。结论该术式治疗胸廓入口处食管癌,可达到肿瘤完整切除、进行合理的淋巴结清扫并可减少并发症。
Objective To investigate the feasibility of transcervical and suprasternal approach to the treatment of esophageal cancer at the entrance of the thoracic spine by means of neoplasty, mediastinum and lymph nodes dissection. Methods Six cases of patients, the neck lip-shaped incision, the upper midline of the sternum and abdominal incision. Sweep the neck, the mediastinum, abdominal lymph nodes. Straight separation of tumor, pull off the lower esophagus, cervical esophagogastric anastomosis. Results The operation was radical, the average lymph node dissection 38, the average operation time 350min, the average bleeding 375mL, the average postoperative hospital stay 29d. Conclusion The surgical treatment of thoracic esophageal cancer at the entrance to complete tumor resection, reasonable lymph node dissection and reduce complications.