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目的:探讨高危高龄食管贲门癌患者的手术方法及临床效果。方法:对80例高危高龄食管贲门癌患者的手术治疗过程及并发症发生和处理情况,进行回顾性分析和总结。其中贲门癌63例,食管癌17例。手术方式为左胸后外侧切口59例,经腹部切口14例,右胸加上腹部正中切口5例,胸腔镜下食管癌切除2例。结果:80例患者全部手术切除、发生心肺并发症17例,无吻合瘘发生,无手术死亡,80例患者均痊愈出院。随访1年生存率97.5%(78例),3年生存率53.8%(43例),5年生存率42.5%(34例)。结论:对高危高龄食管贲门癌患者进行积极的手术治疗是安全的,但要合理掌握适应症,及时处理各种并发症。是提高生存率的关键。
Objective: To explore the surgical methods and clinical effects of high risk esophageal and cardiac cancer patients. Methods: The surgical treatment of 80 high-risk patients with esophageal and cardiac cancer and the occurrence and management of complications were retrospectively analyzed and summarized. 63 cases of cardia cancer, 17 cases of esophageal cancer. Surgery for left lateral thoracotomy in 59 cases, 14 cases of abdominal incision, right chest plus abdominal incision in 5 cases, 2 cases of thoracoscopic esophagectomy. Results: All the 80 patients were surgically removed. There were 17 cases of cardiopulmonary complications, no fistula occurred, no operative death and 80 patients were discharged. The follow-up 1-year survival rate was 97.5% (78 cases), 3-year survival rate was 53.8% (43 cases), and 5-year survival rate was 42.5% (34 cases). Conclusion: It is safe to carry out active surgical treatment for high risk esophageal and gastric cardia cancer patients. However, it is necessary to properly understand indications and handle various complications promptly. Is to improve the survival rate of the key.