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《China Journal of Modern Medicine》 2008-18
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Effect of right thoracic suprathoracic anastomosis on radical operation for esophageal cancer

GONG Wei1, LIU Jian-xin1, LOU Guo-shun2, JIN Long-yu1, HONG Chao1, WANG Dian-jun1, JIANG Zhi-bin1 (1.Department of Cardiothoracic Surgery, the Third Xiangya Hospital of Central South University, Changsha, Hunan 410013, P.R.China; 2. National Hepatobiliary and Enteric Surgery Reaserch Center, Changsha, Hunan 410008, P.R.China )  
[Objiective] To study the difference in GER (Gastroesophageals Reflux), positive of residium and complications of anastomosis, between right thoracic suprathoracic anastomosis and left thoracic supra-aortic arch anastomosis in radical operation for esophageal cancer. [Methods] The clinical data of patients from January 1, 1998 to January 1, 2002 was analyzed retrospectively. Among them, 159 patients were received suprathoracic anastomosis and 133 patients were received supra-aortic arch anastomosis. 24 h PH in the esophagus was tested postoperatively and gastroesophageal barium meal photography. [Results] There is obviously differen in GER(P 0.05), positive of residium(4.1%, 11.0%, P 0.05) and complications of anastomosis (2.5%, 3.1%,6.8%, 8.1%, P 0.05)in two groups of patients. [Conclusions] The right thoracic operation can reduce GER, positive of residium and complications of anastomosis than the left thoracic operation
【CateGory Index】: R735.1
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