目的: 比较右胸、上腹部切口和左胸切口手术治疗胸中段食管鳞癌的疗效及并发症。方法: 选取我
院自2008－1～ 2012－12 收治的43 例行左胸切口治疗( 单切口组) 和45 例行右胸、上腹切口治疗( 双切口组) 病
人，回顾性分析两种术式淋巴结清扫数目、吻合口复发率、术后3a 无病生存率、术后吻合口狭窄、喉返神经损伤、
乳糜胸发生率。结果: 双切口组平均清扫淋巴结26．5±4．3枚，多于单切口组清扫淋巴结14．7±4．2枚( P＜0．05) : 3a
无病生存率双切口组高于单切口组( P＜0．05) ; 双切口组术中损伤喉返神经率高于单切口组( P＜0．05) ; 双切口术
后吻合口狭窄、吻合口复发率、乳糜胸发生率均低于单切口组( P＜0．05) 。结论: 经双切口术式可有效提高3a 无
病生存率，降低吻合口狭窄、乳糜胸发生率。

Objective: To compare the effect and prognosis of left chest single incision operation
and right chest with ventral midline double incision operation on the mid－thoracic portion esophageal
squamous cell cancer．Methods: The date of 88 mid－thoracic portion esophageal squamous cell cancer
patients treated in the affiliated hospital of Inner Mongolia medical university during January 2008 to
December 2012 were retrospectively analyzed． 45of them received left chest single incision operation
( ingle incision operation group) ，43of them received right chest with ventral midline double incision
operation ( double incision operation group ) ． The number of dissected lymph node． The rate of
anastomotic recurrence 、strictures． recurrent laryngeal nerve injury、incidence of chylothorax． 3years
disease－free surialval rates of the two groups were compared．Results: The number of lymph nodes resected
in double incision operation group was more than in single incision operation group( 26．5±4．3vs
14．7±4．2) ，( P＜0．05) ; 3years disease－free surialval was higher in double incision operation group( P＜
0．05) ; The rate of recurrent laryngeal nerve injury was higher in double incision operation group( P＜
0．05) ; The rate of anastomotic recurrence、stricturesand and the incidence of chylothorax were higher in
signal incision operation group( P＜0．05) ．Conclusion: Right chest with ventral midline double incision
operation can increase the 3 years disease－free surialval．can reduce the anastomotic recurrence 、strictures
and incidence of chylothorax in patients with mid － thoracic portion esophageal squamous cell
cancer．

R614．2