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1 材料和方法 1.1 材料 1997/1998我院胸外科及腹部外科住院手术贲门癌患者50例,其中男39例,女11例,年龄29岁～75岁,平均57.8岁,均经病理确诊为贲门腺癌。 1.2 方法 本组手术经胸38例,经腹11例,胸腹联合切口1例,手术发现肿瘤<3.0cm 4例,3.0cm～7.0cm 34例,>7.0cm12例。手术常规距肿瘤3cm～5cm以上行肿瘤切除并行弓下吻合及淋巴结清扫,贲门旁淋巴结28例,食管下段旁淋巴结25例,胃左动脉旁淋巴结22例,胃小弯淋巴结5例,腹腔动脉旁淋巴结4例分别送病理检查。全部病理标本均行常规病理检查,包括肿瘤长度、浸犯深度、断端残留及淋巴结转移情况。 统计学处理 数据资料均用卡方检验进行统计处理。
1 Materials and methods 1.1 Materials 1997/1998 Hospital of Thoracic and Abdominal Surgery in our hospital 50 cases of cardiac cancer patients, including 39 males and 11 females, aged from 29 to 75 years old, average 57.8 years old, all diagnosed by pathology Adenocarcinoma. 1.2 Methods 38 cases of transthoracic surgery in this group, 11 cases of abdominal, thoracoabdominal incision in 1 case, surgery found that <3.0cm in 4 cases, 3.0cm ~ 7.0cm in 34 cases,> 7.0cm in 12 cases. The operation was performed from 3cm to 5cm above the tumor and the tumor was resected with anastomosis under bow and lymph node dissection. There were 28 para-valvular lymph nodes, 25 paraesophageal lymph nodes, 22 left para-aortic lymph nodes, 5 gastric lymph nodes, and celiac artery. Four cases of lymph nodes were sent for pathological examination. All pathological specimens were performed routine pathological examinations, including the length of the tumor, the depth of immersion, residual stumps, and lymph node metastasis. Statistical analysis Data are processed statistically using chi-square test.