CAJ | 학술논문

目的：探讨隆突下淋巴结切除在食管癌患者外科治疗中的价值。方法行食管癌切除术163例患者作为研究对象。根据术中是否行隆突下淋巴结清扫分为清扫组（139例）和未清扫组（24例）。结果163例食管癌隆突下淋巴结转移比率为10．4％。清扫组术后肺部并发症发生率高于未清扫组（P ＜0．05）。肿瘤长度、部位、浸润深度与隆突下淋巴结转移相关（P ＜0．05）。结论食管癌患者术中应根据患者体质、肿瘤特性合理清扫此区域淋巴结。
목적：탐토륭돌하림파결절제재식관암환자외과치료중적개치。방법행식관암절제술163례환자작위연구대상。근거술중시부행륭돌하림파결청소분위청소조（139례）화미청소조（24례）。결과163례식관암륭돌하림파결전이비솔위10．4％。청소조술후폐부병발증발생솔고우미청소조（P ＜0．05）。종류장도、부위、침윤심도여륭돌하림파결전이상관（P ＜0．05）。결론식관암환자술중응근거환자체질、종류특성합리청소차구역림파결。
Objective To study the significance of subcarinal lymph node selective dissection in thoracic esophageal car -cinoma.Methods 163 patients with thoracic esophagus carcinoma who underwent esophagectomy were divide into subcarinal lymph node cleaning group(139 case)and the control group(24 case).Results The metastasis rate of subcarinal lymph nodes in 163 patients with thoracic esophagus carcinoma was 10.4%.Postoperative pulmonary complications rate in lymph node cleaning group was higher than that of the control group (P <0.05).The length of tumor,location and infiltration depth were related with subcarinal lymph node metastasis (P <0.05).Conclusion Esophageal cancer patients during operation should clean lymph nodes according to physical quality of patients and tumor characteristics .