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目的总结食管癌合并右位主动脉弓(right aortic arch,RAA)的外科治疗体会。方法经左胸入路对我院胸外科1例食管癌合并RAA患者行食管癌切除并淋巴结清扫。检索中英文数据库,汇总并分析20例食管癌合并右位主动脉弓的外科治疗情况。结果采用左侧开胸食管癌切除、颈部食管胃吻合及二野淋巴结清扫术。术后患者恢复平稳。文献分析20例患者中,3例患者胸部游离采用胸腔镜,其余为开放手术,绝大多数患者采用左胸McK eown术式(12/20),术后恢复平稳,仅1例术后因肺部感染死亡。结论经左胸路径外科根治食管癌并右位主动脉弓安全可行,能达到与常规食管癌相似的治疗效果。
Objective To summarize the surgical treatment of esophageal carcinoma with right aortic arch (RAA). Methods One case of esophageal cancer with RAA underwent thoracotomy for esophagectomy and lymph node dissection. The Chinese and English databases were retrieved and the surgical treatment of 20 patients with esophageal carcinoma complicated with right aortic arch was summarized and analyzed. Results Left thoracotomy for esophageal cancer, cervical esophagogastric anastomosis and second-site lymphadenectomy were performed. Postoperative patients recovered smoothly. Literature analysis of 20 patients, 3 patients with chest thoracoscopic free, and the rest for open surgery, the vast majority of patients with left chest McK eown surgery (12/20), postoperative recovery was stable, only 1 patient due to lung Department of infection died. Conclusion Surgical treatment of left esophageal cancer and right aortic arch safe and feasible esophageal cancer can achieve similar treatment.