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目的 探讨胃底贲门癌手术径路的最佳方法 ,探讨手术操作要点及并发症的预防措施。方法 对比分析经腹或经胸两种手术方法对患者的影响。结果 (1)经胸手术 77例 ,每例患者术中需输血 4 0 0～ 80 0ml,平均 60 0ml;经腹手术 83例 ,仅有 10例需要术中输血 ,每例需输血4 0 0ml,(2 )手术后住院时间 :经胸手术者为 11～ 3 2d,平均 15d,经腹手术者为 8～ 2 0d,平均 10d,(3 )两种手术方法切除的标本经病理学检查证实切端均无癌细胞残留。结论 胃底贲门癌经腹手术效果较好。
Objective To explore the best method for gastric cardia cancer surgical approach and discuss the main points of surgical operation and preventive measures for complications. Methods The effects of abdominal or transthoracic surgery on patients were compared. Results (1) Transthoracic surgery in 77 cases, each patient required blood transfusion 400 to 800ml, with an average of 60ml; 83 cases of abdominal surgery, only 10 cases require intraoperative blood transfusion, each case required blood transfusion 400ml (2) Hospitalization time after surgery: 11 to 32 days for patients undergoing thoracic surgery (average 15 days) and 8 to 20 days for patients undergoing abdominal surgery (mean 10 days). (3) Specimens of the two surgical methods were confirmed by pathological examination. There were no cancerous residues in the cut ends. Conclusion Gastric cardia cancer is effective in abdominal surgery.