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《Journal of Liaoning Medical University》 2009-01
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Right Thoracal and Upper Abdominal Double Incisions for the Treatment of Esophageal Cancer:a Report of 58 Cases

HUANG Yanfeng,ZHAO Xiang(Department of Thoracic Surgery,Liaoning Provincial Tumor Hospital,Shenyang 110042 China)  
Objective To investigate the advantage and the curative effect in the near future of right thoracal upper abdominal double incisions for the therapy of upper mid-esophageal cancer and compare the two different sequence of surgery.Methods Right thoracal and upper abdominal double incisions were performed in 58 cases with upper mid-esophageal cancer.The anastomotic stoma fistulas,anastomotic stoma stenosis,condition of incisal margin,lymph nodes scavenge were observed and postoperative survival rate in 1,3 and 5 years was analyzed.Results There are no anastomotic stoma fistula,anastomotic stoma hemorrhage,chylothorax and 5 cases of anastomotic stoma stenosis.Lymph nodes scavenge rate was 62.1 %(36/58).No positive incisal margin.Overall 1,3,5-year survival rates were 94.83%(55 /58),68.97%(40 /58),48.28%(28/58) respectively.All of the cases had no complications of the positive of cutting edge,the leakage of anastomosis and chylothrox.Conclusions Right thoracal and upper abdominal double incisions in upper mid-esophageal cancer had smaller trauma than three incisions.It was safe and had high resection rate and had excellent exposure.Anastomoses were precise and reliable,and lymph nodes scavenge was completely done.The incidence of complications decreased.It didn't injure the diaphragmatic muscle and had less effect on respiratory function.It was an ideal surgery type of upper mid-esophageal cancer.
【CateGory Index】: R735.1
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