Two surgical methods for treating cardiac cancer

Cardiac cancer is unfamiliar to many people and is not a common disease. There are two surgical methods for treating cardia cancer. The following experts will introduce the two surgical methods for treating cardia cancer .

Most hospital surgeons are accustomed to using a standard thoracotomy incision technique based on the posterolateral side of the left chest to perform surgical treatment of cardiac cancer, that is, through the seventh intercostal bed and intercostal space, and then make a radial incision at the top of the left diaphragm with the esophagus as the axis to open the abdomen. This method has a good exposure of the cardiac area and is sufficient for subtotal gastrectomy and lymph node dissection around the stomach and left gastric blood vessels. If it is necessary to expand the scope of resection, perform total gastrectomy or combined resection of the spleen and part of the pancreas, etc., the incision can be extended forward and downward to the upper abdominal wall, cutting off the left costal cartilage arch diaphragm and abdominal wall muscles, and it is very convenient to use a combined chest and abdomen incision to fully expose the patient's upper abdomen.

This method of treating cardiac cancer is only suitable for young patients. For elderly patients with poor or even low cardiopulmonary function, it is recommended to use two incisions in the neck and abdomen, non-thoracotomy, esophageal inversion, partial gastrectomy, and esophagogastric cervical anastomosis. After first performing laparotomy to explore the lesion and resecting it, the esophageal bougie is sent to the neck through the opening of the stomach fundus or abdominal esophagus. At this time, the esophagus in the neck has been exposed. The esophageal ligature is fixed on the bougie below the site to be anastomosed, the upper esophagus is cut off, and the bougie is pulled continuously and evenly to flip and pull the esophagus from top to bottom.

The free gastrectomy is routinely performed to remove part of the stomach, cut the greater curvature into a tube, and lift it up through the esophageal bed into the neck and anastomose it with the esophagus. The disadvantage of this type of surgery for treating cardiac cancer is that the scope of gastrectomy is limited, which can lead to incomplete gastric resection margins and residual cancer. When there is inflammation in the mediastinum, such as lymphadenopathy and adhesion, it will be difficult to flip and remove the tumor, and there may be a situation where the tumor cannot be removed or the tracheobronchial membrane is torn. Once the latter situation occurs, open-chest repair should be performed immediately. If it is estimated in advance that there may be difficulty in removal, it is recommended to directly use open-chest resection for treatment.

The above content is the two surgical methods for treating cardiac cancer introduced by experts. You should have already understood them. I hope the above content can be helpful to you. If you have other questions about the treatment of cardiac cancer, please consult online experts, who will give you detailed answers.

For more information, please visit the cardia cancer special topic at http://www..com.cn/zhongliuke/bma/ or consult an expert for free. The expert will then provide a detailed answer to the patient or family based on the patient's specific situation.