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目的分析改良手术方式对残胃食管癌的临床效果。方法对2001年至2011收治的12例残胃食管癌临床资料回顾分析,总结术式改进方法及治疗效果。结果全组无手术死亡病例,无吻合口瘘,无移植结肠襻坏死,无吻合口狭窄,无肠管扩张及冗长,早期2例因不适应结肠的逆蠕动出现反流呕吐,经治疗后症状消失。结论改良术式缩短了手术时间,减少并发症的发生率,提高疗效。
Objective To analyze the clinical effect of modified surgery on residual gastric cancer. Methods The clinical data of 12 cases with residual gastric cancer treated from 2001 to 2011 were retrospectively analyzed, and the surgical methods and therapeutic effects were summarized. Results There were no surgical deaths, no anastomotic fistula, no necrosis of the colon, no anastomotic stenosis, no bowel expansion and vermiform length. In the early two cases, retrograde vomiting was not observed due to the reverse peristalsis in the colon. The symptoms disappeared after treatment . Conclusion Improved surgical procedures shorten the operation time, reduce the incidence of complications and improve the curative effect.