A comparison study of median-rib-section and anteroposterior-rib-section in operation of esophageal and cardisc carcinoma
- VernacularTitle:食管癌、贲门癌切除术应用中部切断肋骨与前后部切断肋骨剖胸方法的对比研究
- Author:
Yanghang FAN
;
Zhiyong WU
;
Jianhao HUANG
;
Zhuoyi LI
- Publication Type:Journal Article
- Keywords:
Esophageal carcinoma;
Cardiac carcinoma;
Thoracotomy;
Rib
- From:
Chinese Journal of Primary Medicine and Pharmacy
2008;15(12):2014-2015
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the optimal operative approach for esophageal and cardiac carcinoma,in order to obtain favorable exposure and to diminish trauma.Methods A method of median-rib-Section were performed in 207 cases of esophageal and cardiac carcinoma:the 6th and 7th ribs were cut intermediately,then we peeled and cut the rib periosteum.stretching the costal interspace with a prop until the exposure was optimal.Items including traumatic degree,exposure extend and conditions of thoracic cavity closure were compared with that of traditional antemposterior-rib-section method.Results The exposure result was similar in the two methods,but the traumatic de-grce WaS less when anteroposterior-rib·section was applied,due to its avoiding cutting intercostal muscles which caused more blood loss.The median-rib-section method led to more satisfactory anatomy paratope and external appearance,less trawma and incision pain.Conclusion The method of median-rib-section is worthy of generalization because of its satisfactory exposure,less trauma,better paratope and absence of postoperative costal malformation.
