【摘要】 目的探讨贲门癌探查手术不能切除的原因。方法回顾性分析72例贲门癌手术探查患者术前临床表现、影像学检查、内镜检查、病理类型及术中情况。结果患者术前虽经过充分评估手术切除的可能性,但72例贲门肿瘤均侵及周围脏器,至少1个周围脏器受侵,其中侵及2个以上脏器者50例;探查原因为肿块较大,侵及胰腺、脾、胃左动脉、腹腔动脉等使瘤体无法和周围组织及脏器分离,部分患者有革袋胃表现。结论提高贲门癌切除率、减少手术探查的关键是早期发现、早期诊断、早期治疗。术前综合评估贲门肿瘤手术切除的可能性只能减少探查术,但不能杜绝。更多还原

【Abstract】 ObjectiveTo discuss the reason for unsuccessful resection of cardiac carcinoma.MethodsRetrospective analysis clinical anifestation, radiological examination, endoscopic examination, pathological type and intraoperative conditions for 72 cases of unsuccessful resection of cardiac carcinoma.Results Adjacent organ invasion was found in all 72 cases, 50 of which with more than 2 organs involved. Despite of a thoroughly evaluation of surgical possibility, unable to resect the tumour still happened, due to excessive tumour, pancreas involvement, and failure to isolate the spleen,left gastric artery, abdominal artery. Litinis plastica was observed in some patients.ConclusionsThe key to improve resection rate and reduce exploratory operation cases is early discovery, early diagnosis, early treatment. It is also very important to evaluate the possibility of resection, however, exploratory surgery for cardiac carcinoma can only be reduced, not completely avoided.更多还原