【摘要】 目的 :探讨经腹贲门癌切除、纵隔内器械吻合术式的适应证和优越性。方法 :自 1999年 10月～ 2 0 0 0年 10月共施行贲门癌切除术 2 5 7例。对其中高危患者 (超过 70岁、心肺功能不全、糖尿病Ⅱ～Ⅲ期或高血压Ⅱ～Ⅲ期 ) 5 3例施行经腹贲门癌切除、纵隔内器械吻合术。对其手术方式、手术效果与前期同类开胸手术患者进行对比分析。结果 :全组患者均获手术切除。并发症较同期同类开胸手术患者明显降低 ,输血量少。恢复时间短 ,疗效相仿。结论 :经腹贲门癌切除、纵隔内器械吻合术对于开胸手术风险高的患者是一种较理想的术式。更多还原

【Abstract】 Objective:To study the advantage and indication of transventral cardia incision with stapled anastomosis in mediastinum.Methods:257 patients performed cardia incision in our ward from Oct.1999 to Oct.2000.Among them,53 patients with over 70 years old,diabetes Ⅱ～Ⅲ stage,hypertension Ⅱ～Ⅲ stage or cardiopulmonary dysfunction underwent transventral cardia surgery,the surgical results and cure rate were comparied with the patients who received transthoratic cardia surgery.Results:All patients succeeded from the cardia surgery,and the complications were decreased obviously,the blood was seldom used,patients recovered sooner,the cure rate was almost the same.Conclusion:Transventral cardia incision with stapled anastomosis in mediastinum is an ideal method in patients with high risk of operation.更多还原