论文部分内容阅读
喉咽及颈段食管癌手术切除之后,如何修复咽及食管缺损,使病人能够尽早地恢复正常的吞咽功能是一个十分棘手的问题。虽然手术方法繁多,但均因各自的缺点使应用受到限制。咽胃吻合术(p hary n gogastric anastomosis),又称胃移位术(g astric transposition)或胃上提术(gastric pull up proc edure),1960年由Ong&Lee首次报告。20多年来,在头颈外科与普通外科医生的共同努力下,咽胃吻合术已经成为弥补喉咽癌及颈段食管癌术后缺损的可靠方法。【手术适应症】(1)喉咽癌,包括梨状窝、咽后壁和环状软骨后癌;(2)颈段食管癌;
After surgical resection of pharyngeal and cervical esophageal cancer, how to repair the pharyngeal and esophageal defects so that the patient can restore normal swallowing function as soon as possible is a very thorny problem. Although the surgical methods are numerous, they are limited by their respective disadvantages. Pharyngogastric anastomosis, also called gastric transposition or gastric pull up proc edure, was first reported by Ong & Lee in 1960. For more than 20 years, under the joint efforts of head and neck surgery and general surgeons, pharyngeal anastomosis has become a reliable method to make up for defects in the hypopharyngeal cancer and cervical esophageal cancer. Indications for surgery (1) Hypopharyngeal cancer, including pear-shaped fossa, posterior pharyngeal wall and posterior cricoid cartilage; (2) cervical esophageal cancer;