摘要
目的食管、贲门癌手术后吻合口瘘和吻合口狭窄是常见的并发症，为尽可能降低其并发症的发生，我院从１９８８～１９９６年对２１０例食管、贲门癌患者实施手术。方法采用全层、间断、内翻一层吻合法，不附加减张悬吊及包埋重建消化道，颈部吻合３９例，主动脉弓上吻合３６例，主动脉弓下吻合１１５例，全胃切除空肠食管吻合２０例。结果全组患者术后吻合口瘘和吻合口狭窄各发生１例，发生率低于０．５％，无手术死亡。结论本吻合方法降低了食管、贲门癌手术后吻合口瘘和狭窄的发生。
Objective The anastomotic leakage and stenosis are common complications of esophageal and cardiac carcinoma resections. To decrease the rate of this complications, 210 cases of esophageal and cardiac carcinoma resections were performed in the thoracic surgery department from 1988 to 1996.Methods The alimentary tract was rebuilted with one layered whole thickness anastomosis using interrupted inversion sutures without suspension sutures and invagination. Thirty nine of them anastomosis situated in the neck, 36 cases above the aortic arch, 115 cases below the aortic arch and 20 were total gastrectomy with jejuno esophagostomy.Results The incidences of anastomotic leakage and stenosis were lower than 0.5% (1 leak and 1 stenosis only). There was no operative death in the series.Conclusion This method of anastomosis reduced the rate of anastomotic leakage and stenosis after esophageal and cardiac carcinoma resection.
出处
《中国胸心血管外科临床杂志》
CAS
1997年第3期147-148,共2页
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
关键词
食管肿瘤
贲门肿瘤
癌
切除术
一层吻合
Esophagus and cardiac carcinoma excision One layer anastomosis
