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小切口开胸治疗食管癌食管胃交界部癌探讨 被引量:5

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摘要 目的探讨前外侧直线小切口开胸术微创治疗食管癌、食管胃交界部癌的手术方法。方法采用第五肋间前外侧直线切口,切开皮肤,皮下组织,前至距肋弓2 cm,后至背阔肌前缘,拉钩将背阔肌拉向后方,沿前锯肌束方向纯性分开前锯肌,显露第五肋间,进胸手术。结果本组40例,其中胸下段食管癌18例,食管胃交界部癌22例,平均手术时间120 mim,切口长度平均10~12 cm,开胸失血量〈30 ml,术后平均住院9 d,手术出血少,患者术后1-2 d可下床活动,疼痛轻微,术侧上肢无明显运动受限。结论前外侧直线小切口开胸术具有损伤小、显露好、出血少、术后疼痛轻、恢复快等优点,且并发症少,住院时间缩短。
作者 张西海
出处 《安徽医学》 2011年第8期1153-1153,共1页 Anhui Medical Journal
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