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右径三切口食道癌切除术并发症的处理

Postoperative Complication of Esophagectomyof Carcinoma with Right Triple Incision Approach

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【作者】 李志平万于华饶华庚王勤吴起才黄立赵衍曾

【Author】 Li Zhi ping, Wan Yu hua, Rao Hua geng,Wang Qing, Wu Qi cai, Huang Li, Zhao Yan zeng(Department of Surgery,First Affiliated Hospital of Jiangxi Medical College,Nanchang 330006,China)

【机构】 江西医学院第一附属医院胸外科江西医学院第一附属医院胸外科 江西南昌330006江西南昌330006江西南昌330006

【摘要】 目的 :探讨右径三切口食道癌切除术后并发症的处理。方法 :对 2 99例病人行右径三径切口食道癌切除术。结果 :死亡 5例 ,其中呼吸衰竭 2例 ,颈部吻合口胸腔瘘 2例 ,胃出口梗阻 1例 ,病死率 1.6 7%。术后 4 4例发生各种并发症。结论 :右径三切口食道癌切除术是食道癌治疗的一种可靠、有效的方法 ,适合于上段、中段、中下段食道癌切除术 ;在用胃管代食道时 ,甚至可适用于下段食道癌和贲门癌切除术。如能及时发现、正确处理术后并发症可获得较好的疗效

【Abstract】 Objective: To Summarize of the postoperative complication of esophagectomy of carcinoma in 299 cases with right triple incision approach.Methods:Two hundred ninety nine patients with carcinoma of esophagus received a right triple incision approach esophagectomy in our hospital.They were aged from 37 to 76 years.There were 8 case with carcinoma in upper one third,41 case in upper middle one third, 199 case in middle one third, and 36 case in the middle lower one third or lower.Results:Total operative mortality rate was 1.67%.Among the dead patients, there were 2 patients dead from respiratory failure,2 from thoracic fistula,1 from gastric obstruction. During post operation 44 patients sustained one or more complication.Conclusion:The right triple incision approach esophagectomy for carcinoma is all effective and safe treatment for carcinoma of esophagus, though there are a few complication.

  • 【文献出处】 实用临床医学 ,Practical Clinical Medicine , 编辑部邮箱 ,2003年02期
  • 【分类号】R735.1
  • 【被引频次】1
  • 【下载频次】55
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