自1990年以来,我院采用保留腹直肌改良式胸腹联合切口,治疗贲门癌患者48例。现将该术式及治疗体会报告如下。 临床资料:本组共112例,男79例,女33例;年龄39～80岁,平均51.5岁。均为中晚期贲门癌患者,其中5例合并1期高血压,2例合并轻度糖尿病。行开腹探查15例,经腹全胃切除食管空肠吻合6例,胸腔内食管胃吻合43例,其余48例行改良式胸腹联合切口。 Since 1990, our hospital retained the modified rectus abdominis and thoracoabdominal incision for the treatment of cardia cancer in 48 patients. Now the operation and treatment experience report as follows. Clinical data: This group of 112 cases, 79 males and 33 females; aged 39 to 80 years, mean 51.5 years. All patients with advanced cardia cancer, including 5 cases with hypertension, 2 patients with mild diabetes. 15 cases underwent open abdominal exploration, transabdominal gastrectomy in 6 cases of esophageal jejunum anastomosis, intrathoracic esophagogastrostomy in 43 cases, and the remaining 48 cases of modified thoracoabdominal incision.