Selection of surgical access for CT type-Ⅱ adenocarcinoma of the esophagogastric junction and its influen-cing factors
10.16571/j.cnki.1008-8199.2018.06.013
- VernacularTitle:影响Ⅱ型CT分型食管胃交界部腺癌手术入路选择的相关因素分析
- Author:
Yun-Kai GUO
1
;
Bin HAN
;
Yu-Zhou ZHAO
;
Peng-Fei MA
Author Information
1. 郑州大学第二附属医院普外科
- Keywords:
tomography;
adenocarcinoma of the esophagogastric junction;
surgical access;
multivariate analysis
- From:
Journal of Medical Postgraduates
2018;31(6):628-630
- CountryChina
- Language:Chinese
-
Abstract:
Objective Few studies are reported on the factors influencing the selection of the surgical access for adenocarci-noma of the esophagogastric junction (AEG). This study aimed to investigate the factors influencing the selection of the surgical access for CT type-ⅡAEG. Methods We retrospectively analyzed 118 cases of CT type-ⅡAEG surgically treated in the Second Affiliated Hospital of Zhengzhou University and Henan Tumor Hospital from January 2015 to January 2017,92 via the abdominal access and the other 26 via the thoracoabdominal access. We performed univariate and multivariate logistic regression analyses on the factors that might influence the surgical approaches,such as gender,body mass index (BMI),degrees of the epigastric angle,pathological classifica-tion,and clinical stages. Results Logistic regression analysis showed that the degree of the epigastric angle was an independent fac-tor influencing the selection of the access of AEG (OR=0.250,95% CI: 0.098-0.639) (P<0.05). Conclusion In the surgical treatment of CT type-ⅡAEG,the abdominal access is preferable for patients with the epigastric angle> 90 degrees and the thoracoab-dominal access is recommended for those with the epigastric angle≤90 degrees.
