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介绍一种新的食管节段切除胸内端端直接吻合的方法,已经在32例中下段食管癌病人应用,本法是把带血管的胃上移至左胸内,因而两食管断端有良好的血供且吻合口无张力,食管下切端须在贲门上scm之内,本组无吻合漏发生,由于保留了贲门,临床观察无食管反流现象,经十多年随访,存活尚属满意,生活质量良好,予期食管节段切除,胸内直接吻合的新方法,可作为食管病变治疗的一种手术选择。
A new approach to the direct anastomosis of the endothoracic end of the esophagus segment has been introduced. It has been applied to 32 patients with lower esophageal cancer. This method moves the stomach with blood vessels up to the left chest, so the two esophageal stumps have A good blood supply and anastomotic tension, esophageal cut end must be within the Scm of the cardia, no anastomotic leakage occurred in this group, due to the retention of the fontanelle, clinical observation of no esophageal reflux phenomenon, after more than 10 years of follow-up, survival is still Satisfaction, good quality of life, preoperative esophageal segment resection, and direct new anastomosis in the chest can be used as a surgical option for the treatment of esophageal lesions.