【摘要】 目的　探讨中段食管癌手术方式中利用主动脉弓上隧道的效果。方法　对 2 0 0 0年 1月至 2 0 0 2年 11月期间连续 2 0 0例手术治疗进行分析。结果　手术无一例死亡 ,手术后并发症占 4.5 % ( 9/2 0 0 ) ,其中颈部吻合口瘘 4例( 2 % ) ,术后出血 1例 ( 0 .5 % ) ,胸腔切口感染 2例 ( 1% ) ,左喉返神经损伤 2例 ( 1% )。结论　主动脉弓上隧道的应用具有并发症少 ,操作简便 ,省时 ,微创。胃置于食管床内术后有近似生理状态的胸腔 ,是中段食管癌外科治疗中值得应用的一种方法。更多还原

【Abstract】 Objective To evaluate the effect of the tunnel above the aorta arch for esophageal carcinoma at middle thoracic. Methods Two hundred consecutive patients treated by surgery were analyzed. Results The mortality of surgery were zero.The morbidity of surgery was 4.5%(9/200).They were anastomosis leak(2%);bleeding(0.5%); thoracic incision infection(1%)and left larynx nerve injure(1%). Conclusion To make use of the tunnel above the aorta arch elhave superiority with the lower morbidity;saving time and minimally invasive surgery.This is perfect method for esophageal carcinoma at middle thoracic.更多还原