【摘要】 目的探讨隆突下淋巴结切除在食管癌患者外科治疗中的价值。方法行食管癌切除术163例患者作为研究对象。根据术中是否行隆突下淋巴结清扫分为清扫组(139例)和未清扫组(24例)。结果 163例食管癌隆突下淋巴结转移比率为10.4%。清扫组术后肺部并发症发生率高于未清扫组(P<0.05)。肿瘤长度、部位、浸润深度与隆突下淋巴结转移相关(P<0.05)。结论食管癌患者术中应根据患者体质、肿瘤特性合理清扫此区域淋巴结。更多还原

【Abstract】 Objective To study the significance of subcarinal lymph node selective dissection in thoracic esophageal carcinoma. Methods 163 patients with thoracic esophagus carcinoma who underwent esophagectomy were divide into subcarinal lymph node cleaning group( 139 case) and the control group( 24 case). Results The metastasis rate of subcarinal lymph nodes in163 patients with thoracic esophagus carcinoma was 10. 4%. Postoperative pulmonary complications rate in lymph node cleaning group was higher than that of the control group( P < 0. 05). The length of tumor,location and infiltration depth were related with subcarinal lymph node metastasis( P < 0. 05). Conclusion Esophageal cancer patients during operation should clean lymph nodes according to physical quality of patients and tumor characteristics.更多还原