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find Keyword "贲门癌" 33 results
  • 食管、贲门癌切除器械吻合术519例

    目的 总结食管、贲门癌切除后应用器械吻合防止吻合口瘘和狭窄的临床经验。方法 回顾性地分析519例食管、贲门癌患者应用吻合器治疗的结果。结果 发生并发症7例,包括吻合口瘘2例,吻合口出血2例,吻合口狭窄3例,无手术死亡和住院死亡。结论 器械吻合完整快捷,明显地减少了手术操作时间和吻合口并发症的发生,降低了手术死亡率。

    Release date:2016-08-30 06:34 Export PDF Favorites Scan
  • Contrast Analysis on Two Reconstructive Methods after Resection of Esophageal and Cardiac Carcinoma

    目的:探讨食道癌贲门癌术后两种重建方法的优劣。方法:实验组食管癌贲门癌切除术后采用圆形吻合器行食管胃器械吻合,吻合口4号丝线间断加强并另行吻合口大网膜缠绕并吻合合口减张。对照组行食管胃粘膜及粘膜下分层吻合加胃浆肌层与食管肌层缝合包埋吻合口并减张重建。比较两组手术时间,术后肺部感染和肺不张、吻合口瘘和狭窄及胃食管反流发生率。结果:实验组吻合口瘘发生率为0.6%(2/316),吻合口狭窄发生率为5.7%(18/316),对照组吻合口瘘发生率为1.6%(3/186),吻合口狭窄发生率为4.3%(8/186),均有显著性差异(P<0.05)。吻合口近端胃食管反流液随机抽样检查pH值,差异无统计学意义(P>0.05)。行机械吻合手术时间明显缩短,有统计学意义(P<0.05)。实验组肺部感染发生率0.3%(1/316),无肺不张,对照组肺部感染发生率1.6%(3/186),肺不张0.5%(1/186),其差异有统计学意义(P<0.05)。结论:食管癌贲门癌切除术中行机械吻合重建方便快捷,可减少并发症,适于临床临床推广。

    Release date:2016-08-26 03:57 Export PDF Favorites Scan
  • Clinical Application of Trans abdominal Operation in Cardiac Cancer

    目的:探讨不同手术入路在贲门癌治疗中的临床应用。方法:回顾性分析我院2003年8月至2009年1月期间收治的153例贲门癌患者的临床资料,根据不同手术入路分为经腹组(n=74)、胸腹联合组(n=27)和经胸组(n=52),对3组患者的手术中、术后恢复情况以及随访结果进行对比分析。结果:手术切除率100%,围手术期无死亡病例。经腹组手术时间短于经胸组和胸腹联合组,术中出血量也少于经胸组和胸腹联合组,但差异无统计学意义(Pgt;0.05)。胸腹联合组和经腹组清扫的淋巴结数目明显多于经胸组,差异有统计学意义(Plt;0.05)。经腹组患者术后住院时间和术后并发症发生率明显少于胸腹联合组和经胸组,差异有统计学意义(Plt;0.05)。3组患者的术后局部复发率和远处转移率的差异均无统计学意义(Pgt;0.05),3年和5年生存率的差异也无统计学意义(Pgt;0.05)。结论:经腹贲门癌切除术是安全和有效的,配合吻合器的使用,操作也是可行的。

    Release date:2016-09-08 10:04 Export PDF Favorites Scan
  • 贲门癌术后吻合口复发癌的再手术治疗

    目的 探讨贲门癌术后吻合口复发癌再手术的可能性和适应证. 方法 再次手术采用胸腹联合切口和左胸切口,手术切除9例,术中姑息性置管2例,探查3例. 结果 术后发生严重并发症2例,无手术及院内死亡.手术切除者中2年和3年生存率分别为44.4%(4/9)和22.2%(2/9),5例分别在7个月~2年内死亡,2例失访.置管及探查者均在2~7个月内死亡. 结论 贲门癌术后吻合口复发癌再手术要求较高,须严格掌握手术适应证.如患者一般情况较好,病灶较小,无远处转移,仍可再次积极手术,尤其是首次经腹手术者为佳.

    Release date:2016-08-30 06:35 Export PDF Favorites Scan
  • 机械吻合器在胸内消化道重建术中的应用

    目的 评价消化道管型吻合器在食管癌和贲门癌手术中的应用价值。 方法 2001年8月-2008年9月期间应用管型吻合器对192例食管、贲门癌切除后进行机械吻合,其中男124例,女68例;食管癌135例,贲门癌57例;食管胃弓上吻合43例,弓下吻合149例。 结果 术后出现吻合口瘘2例(1.04%), 吻合口狭窄4例(2.08%),吻合口少量出血3 例(1.56%),胃食管返流13例(6.77%)。 结论 在上消化道重建手术中应用消化道管型吻合器安全可靠,机械吻合是减少术后吻合口瘘等并发症的有效技术。

    Release date:2016-09-08 09:47 Export PDF Favorites Scan
  • Application of Telescopic Embedding Anastomosis in Surgical Treatment of Esophageal and Cardiac Carcinoma: A Case Control Study

    ObjectiveTo explore the effects of modified telescopic embedding anastomosis in surgical treatment of esophageal and cardiac carcinoma. MethodsWe retrospectively analyzed the clinical data of 160 patients with esophageal or cardiac cancer undergoing surgery in our group from January 2014 through May 2015. There were 119 males and 41 females with a mean age of 61.6±7.1 years. Sixty-four patients received Sweet esophagectomy and 96 patients underwent minimally invasive Mckeown esophagectomy, and all the patients received end to side mechanical anastomosis. The patients were divided into a modified group and a traditional group according to the embedding types. There were 34 males and 12 females aged 61.7±6.4 years in the modified group undergoing modified telescopic embedding. There were 85 males and 29 females aged 62.2±7.5 years in the traditional group undergoing traditional interrupted horizontal mattress suture embedding. The anastomostic time and postoperative complications were compared between the two groups. ResultsCompared with the traditional group, obviously lower incidence of anastomotic fistula (0.0% vs. 12.3%, χ2=4.478, P=0.013), shorter anastomosis time (28.9±2.9 min vs. 30.0±3.1 min, t=-1.983, P=0.049), but a higher incidence of anastomotic stenosis (30.4% vs. 3.5%, χ2=23.799, P=0.000) in the modified group were found. There were no significant differences in the incidences of pulmonary complications, cardiovascular complications, laryngeal recurrent nerve injury, or perioperative mortality between the two groups (P>0.05). ConclusionModified telescopic embedding anastomosis is safe and feasible in surgical treatment of esophageal and cardiac carcinoma, and can effectively reduce the incidence of anastomotic fistula.

    Release date:2016-10-19 09:15 Export PDF Favorites Scan
  • 空肠间置术预防贲门癌术后反流性食管炎

    目的探讨贲门癌近端胃切除空肠间置术后预防反流性食管炎的效果. 方法贲门癌近端胃切除空肠间置术患者,于术后作胃镜和消化道 X线钡餐造影,48例患者于术后7天和2~3个月行连续24小时pH值监测,以评价食管反流的情况. 结果 6例术后出现反流性食管炎,发生率9.68%. 结论采用空肠间置术行消化道重建对预防贲门癌术后反流性食管炎具有良好的临床效果.

    Release date:2016-08-30 06:32 Export PDF Favorites Scan
  • 中断肋骨后外侧开胸切口施行食管、贲门癌切除术

    目的 为了减小开胸手术切口的创伤,获得良好的手术视野,探讨中断肋骨后外侧开胸切口的临床效果。方法 采用中断肋骨后外侧开胸方法施行食管、贲门癌切除、淋巴结清扫术126例;介绍该技术的要点,比较中断肋骨开胸切口法与其他保留肋骨方法的显露面积、创伤大小及手术效果。结果 本组无1例发生术后肺不张和胸壁切口出血而需再次开胸止血,患者均恢复良好。结论 中断肋骨开胸切口方法手术操作简单,手术视野显露好,且手术创伤小。

    Release date:2016-08-30 06:23 Export PDF Favorites Scan
  • Effect Comparison of the Negative Pressure Ball with Small Tube for Thoracic Drainage after Esophageal and Cardiac Cancer Surgery

    【摘要】目的观察负压球在食管癌、贲门癌术后的临床应用价值。方法1999年2009年对观察组食管癌、贲门癌术后使用负压球细管引流,对照组术后使用传统粗胶管水封瓶闭式引流,两组均286例。结果观察组在胸腔积液、第二天镇痛剂应用、引流口感染及术后住院时间等方面与对照组相比差异有统计学意义,而术后脓胸、第一天镇痛剂应用及管腔堵塞等方面与对照组相比无差异。结论负压球细管引流用于食管癌、贲门癌术后胸腔引流,创伤小,效果确切满意。

    Release date:2016-09-08 09:31 Export PDF Favorites Scan
  • Effect Evaluation of Laparoscopy-Assisted Surgery for Lymph Node Dissection in Patients with Carcinoma of Gastric Cardia

    Objective To evaluate the effect of laparoscopy-assisted surgery for lymph node dissection in patients with carcinoma of gastric cardia. Methods The clinical data of patients with carcinoma of gastric cardia who underwent either laparoscopy-assisted or open gastrectomy between January 2004 and September 2009 in the Department of General Surgery, the Nanchong Central Hospital were analyzed retrospectively. The number of lymph node dissection was compared. Results Thirty-nine patients underwent laparoscopy-assisted gastrectomy (laparoscopy group) and 63 patients underwent open gastrectomy (open group). There was no significant difference in preoperative complications, type of pathology or pTNM stage between two groups (Pgt;0.05). The number of lymph node dissection was 16.44±6.25 in the laparoscopy group, of which the number of first station lymph node was 10.56±3.78 (metastasis rate was 74.4%), the second station was 3.82±1.82 (metastasis rate was 46.2%), the third station was 2.00±1.36 (metastasis rate was 5.1%); in the open group, the numbers of corresponding lymph node were 16.38±5.83, 10.94±3.91 (metastasis rate was 71.4%), 3.71±1.55 (metastasis rate was 42.9%), and 1.75±1.06 (metastasis rate was 3.2%), respectively. There was no significant difference between two groups (Pgt;0.05). Conclusion The effectiveness of lymph node dissection is satisfactory by laparoscopy-assisted surgery for patients with carcinoma of gastric cardia, but prospective efficacy is still being followed up.

    Release date:2016-09-08 10:50 Export PDF Favorites Scan
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