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一种经腹经膈肌途径处理胸段食管的新方法。

A new approach to the thoracic esophagus by the abdominal transdiaphragmatic route.

作者信息

Pinotti H W

出版信息

Langenbecks Arch Chir. 1983;359(4):229-35. doi: 10.1007/BF01257309.

DOI:10.1007/BF01257309
PMID:6855378
Abstract

A total of 113 patients affected by several esophageal and gastric alterations underwent operations through the cervicoabdominal transdiaphragmatic route, such as partial resections of the distal segment of the esophagus or subtotal esophagectomy. This method proved to have much fewer postoperative complications or deaths as well as more advantages, especially since most of the patients presented moderate to severe malnutrition and could not easily endure more aggressive procedures such as the thoracotomy with its obvious respiratory complications.

摘要

共有113例患有多种食管和胃部病变的患者通过颈腹经膈途径接受了手术,比如食管远端部分切除术或次全食管切除术。事实证明,这种方法术后并发症或死亡情况要少得多,且有更多优势,特别是因为大多数患者存在中度至重度营养不良,无法轻易耐受更激进的手术,如开胸手术及其明显的呼吸并发症。

相似文献

1
A new approach to the thoracic esophagus by the abdominal transdiaphragmatic route.一种经腹经膈肌途径处理胸段食管的新方法。
Langenbecks Arch Chir. 1983;359(4):229-35. doi: 10.1007/BF01257309.
2
[On esophagectomy by left transpleural transdiaphragmatic approach and cervical esophagogastrostomy with plastic stomach (author's transl)].[经左胸经膈肌入路行食管切除术及带塑形胃的颈部食管胃吻合术(作者译)]
Kyobu Geka. 1977 Dec;30(12):955-8.
3
Transdiaphragmatic approach to the posterior mediastinum and thoracic esophagus.经膈入路至后纵隔及胸段食管
Arch Surg. 1993 Aug;128(8):897-901; discussion 901-2. doi: 10.1001/archsurg.1993.01420200071012.
4
[A technic of transhiatal esophagectomy].
J Chir (Paris). 1988 Oct;125(10):585-92.
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Distribution of lymph node metastasis and clinical validity of gastric tube reconstruction in lower thoracic esophageal squamous cell carcinoma with gastric invasion.胸段下段食管鳞状细胞癌伴胃侵犯时淋巴结转移分布及胃管重建的临床有效性
Ann Surg Oncol. 2015 Feb;22(2):617-23. doi: 10.1245/s10434-014-4017-7. Epub 2014 Aug 28.
6
Technical aids in performing transhiatal esophagectomy without thoracotomy.非开胸经裂孔食管切除术的技术辅助手段。
Ann Thorac Surg. 1984 Aug;38(2):128-32. doi: 10.1016/s0003-4975(10)62219-9.
7
Transdiaphragmatic liver scanning: a new intraoperative imaging technique for examination of the liver from the thoracic cavity.经膈肝脏扫描:一种用于从胸腔检查肝脏的新型术中成像技术。
J Clin Ultrasound. 1990 Jan;18(1):31-8. doi: 10.1002/jcu.1870180108.
8
[Esophageal resections and plastics].[食管切除术与整形术]
Medicina (Kaunas). 2004;40 Suppl 1:170-3.
9
[Abdomino-right-thoracic esophagectomy with intrathoracic anastomosis in Barrett's cancer].[巴雷特食管癌的经腹右胸段食管切除术及胸内吻合术]
Chirurg. 2005 Jun;76(6):588-94. doi: 10.1007/s00104-005-1028-8.
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[Subtotal esophagectomy with simultaneous retromediastinal plastic surgery using gastric pedicled flap without thoracotomy].[采用带蒂胃瓣行后纵隔整形术同期行食管次全切除术,无需开胸]
Grud Serdechnososudistaia Khir. 1990(2):64-7.

本文引用的文献

1
Esophagectomy without thoracotomy.
Surg Gynecol Obstet. 1981 Mar;152(3):344-6.
2
[Surgical perspective on transdiaphragmatic access to the thoracic esophagus].[经膈肌入路至胸段食管的外科视角]
Rev Esp Enferm Apar Dig. 1982 Aug;62(2):100-6.
3
[Extrapleural approach to the esophagus through frenolaparatomy].
AMB Rev Assoc Med Bras. 1976 Feb;22(2):57-60.
4
[Subtotal esophagectomy by transmediastinal tunnel without thoracotomy].
[经纵隔隧道非开胸食管次全切除术]
AMB Rev Assoc Med Bras. 1977 Nov;23(11):395-8.