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