Clinical experience in the middle of esophageal cancer surgery.docVIP

 PAGE \* MERGEFORMAT 8 Clinical experience in the middle of esophageal cancer surgery [Abstract] Objective To analyze the anatomical characteristics of the middle esophageal cancer, the experience of middle esophageal carcinoma. Methods 27 cases of middle esophageal cancer were treated with surgical removal of left chest approach in 21 cases, right chest approach with resection in 6 cases. All surgery cases, reconstruction of the digestive tract are applied stapler. Results of the resection rate of 93%, 4 cases of postoperative pulmonary complications, cardiac complications in 3 cases and 1 died. Conclusion The incision reasonable middle esophageal cancer surgery , can achieve the purpose of cure, but also to minimize tissue trauma. [Keywords:] esophageal cancer, esophageal resection, incision Esophageal cancer occurred in the middle of the esophagus, the esophageal anatomy special complex, leaving the surgery more difficult, how to choose the right path into and out of surgery, both to ensure the smooth implementation of esophageal cancer surgery, but also to minimize tissue trauma and postoperative complications. our hospital in February 2004 to June 2008 a total of 27 cases of esophageal cancer surgical treatment of middle and personal clinical experience reported below. 1 Clinical data 1.1 General Information The group of 27 cases, including 22 males and 5 females, aged 53-74 years, mean age 63.4 years. Patients had varying degrees of swallowing difficulties, eating choking feeling. Clinical TNM stage: 1 case, a period of 7 cases, b 12 cases, , 5 cases, of 2 cases. All patients had preoperative endoscopy [1] and confirmed by pathological diagnosis of squamous cell carcinoma. 1.2 Procedures The left thoracic approach in 21 cases, including 2 cases of surgical exploration, and the remaining radical resection, 6 cases of right chest approach, both radical resection. Anastomosis after resection of esophageal and gastric are mechanica