【摘要】 目的　探讨贲门癌手术的最佳径路。方法　将 1990年 1月至 2 0 0 2年 1月我们手术治疗的贲门癌病人 462例 ,按三种常见的手术径路分成三组 ,对其切除率、残留癌发生率、术中意外损伤及术后并发症进行比较分析。结果　左胸后外侧切口术中意外损伤较多 ;上腹正中切口上端残留癌的发生率较高 ;胸腹联合切口切除率较高 ,且切除彻底 ,意外损伤少。结论　应根据不同病人的具体情况 ,选择合适的手术径路。更多还原

【Abstract】 Objective Search for the best operational incision for individual cardiac cancer patient.Method Divide the 462 cardiac cancer patients treated by us from January 1990 to January 2002 into 3 groups according to the 3 common operational incisions adopted and conduct comparative analysis of their rates of resection,occurring rates of remnant cancer,intraoperative accidental damages as well as postoperative complications.Result Intraoperative accidental damages are more likely to occur along the left thoracic posterior-lateral incisions,and the chance of occurrence of remnant cancer along the upper end of central epigastric incision is pretty high whereas the rate of resection occurs more likely with the abdomino-thoracic incision,with resection more complete and little accidental damage. Conclusion It is essential that appropriate operational incision should be adopted according to the various situations of individual patient.更多还原