2240例胸内食管胃分层吻合术无吻合口瘘和重度狭窄的治疗体会

"Layer to Layer" Esophagogastric Anastomosis Combined with Intrathoracic Esophageal Mucosal Extention in Continuous 2240 Patients with No Anstomotic Leaking and Severe Stricture

摘要: 目的:评价胸内食管粘膜延长不同平面与胃、食管分层吻合术,探讨预防食管吻合口瘘和吻合口狭窄发生的吻合方法。方法:回顾性总结1985年5月至2002年12月共进行胸腔内食管粘膜延长不同平面与胃、食管分层吻合术2240例,统计手术后和出院后随访资料发生吻合口瘘和吻合口狭窄的情况。结果:所有手术病例均未发生吻合口瘘和吻合口严重狭窄。结论:食管、胃粘膜延长不同平面分层吻合术是预防吻合口瘘和吻合口狭窄的有效吻合方法。

Abstract: Objective : To evaluate the clinical value oi intrathoracic esophagogastric “layer to lay-er” anastomosis with esophageal mucosa extended varied in plane, to study the effective methods to prevent anastomotic leaking or stricture postoperatively. Methods : From May, 1985 to December, 2002,two thousand two hundred and forty (2240) esophageal and stomach cardia cancer patients treated by intrathoracic esophagogastric “layer to layer” anastomosis with esophageal mucosa extended varied in plane were retrospectively analyzed. Results : There was no anastomotic leaking and severe stricture in all above cases. conclusion: Intrathoracic esophagogestric “layer to layer” anastomosis with esophageal mucosal extended varied in plane is an effective method to prevent anastomotic leaking and stricture postoperatively.