A prospective clinical research for surgical approach of cardiac

VernacularTitle:贲门癌手术入路的前瞻性临床研究
Author: Donghong CHEN ; Xiuyi ZHI ; Zhenbang LIU ; Bing DONG
Publication Type:Journal Article
Keywords: Stomach neoplasm; Surgical procedures,operative; Prospective studies
From: Cancer Research and Clinic 2011;23(4):234-236,250
CountryChina
Language:Chinese
Abstract: Objective To compare the results of surgical treatment of cardiac carcinoma through left thoracic approach and abdominal approach.Methods After finished cardiac carcinoma resection and gastroesophagus anastomosis in thorax through left thoracic approach,standard D2 regional lymph nodes dissection or/and combined pancreas and spleen resection were performed immediately through abdominal approach in 19 patients.Two surgical specimens were examined individually.Results 122 lymph nodes were founded in the abdominal surgical specimens,in which 23 were metastasis lymph nodes founded in 7 patients (7/19,37 %).Conclusion Left thoracotomy alone can no achieve complete resection for advanced gastric cardiac carcinoma.It should be treated through the combined abdominal and thoracic approach.