Objective: To investigate the surgical methods and effects of trans-left-thoracic posterolateral incision esophageal cancer radical surgery.Methods: From January 2006 to December 2009, 60 surgeries were completed in the department of thoracic surgerv in our hospital using the following methods: Open the chest through the left-thoracic posterolateral incision without cutting off the ribs, pectoralis major and latissimus dorsi.Large S-shaped retractors and two intestinal depressors were used for exposure.Deep knot tying was completed by pushing into the deep part with right-angle clamp.Gastroesophageal thoracic top anastomosis was completed with anastomat.Results: 60 surgeries were completed, with the incision length of 10-13 cm and an average of 11 cm, the operative time of 2-4 hours and an average of (180±10)min, the thorax open and close time of 5-10 min, and the intraoperative blood loss of 80-300 ml and an average of 130 inl.None was given blood transfusion.Conclusion: The surgical method has advantages such as small incision, light trauma, light postoperative pain, rapid recovery, few complications, hidden incision and good effects.%目的:探讨左胸后外侧小切口食管癌根治术的方法和效果.方法:我院胸外科从2006年1月～2009年12月,经左胸后外侧小切口开胸,不切断肋骨,不切断胸大肌和背阔肌,术中用大S状拉钩和两个压肠板牵拉暴露,深部打结用直角钳推入深部完成,食管胃胸顶吻合用吻合器吻合,颈部吻合用手工吻合,共完成手术60例.结果:完成手术60例,切口长10～13 cm,平均11 cm,手术时间2～4 h,平均(180±10)min,开关胸时间为5～10 min;术中出血量80～300 ml,平均130 ml,均未给予输血.结论:该术式具有切口小、创伤轻、术后疼痛轻、康复快、并发症少、切口隐蔽美观、效果满意的优点.
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