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胃十二指肠溃疡病在我国是极为常见的疾病、在手术治疗中以胃大部分切除为最常用方法,近年来发现又患食管癌者并不少见。我们为了能在满足食管癌肿切除范围而又保留残胃,使术后能有较好的消化功能,保持或接近术前水平。故此,我们设计了将残胃、脾脏及部分胰尾移入左胸内,并以食管残胃吻合术重建消化道的手术方法。从1982年2月至1983年8月共施行7例,计有食管上、中段癌切除,食管残胃颈部吻合1例。食管中段及下段癌各3例,分别行食管残胃主动脉弓上及弓下吻合各3例,全部成功。本文主要介绍了手术方法及随访结果。其手术方法简单,术后恢复满意。
Gastroduodenal ulcer disease is an extremely common disease in our country. The most commonly used method is surgical resection of the stomach. In recent years, it has not been uncommon to find esophageal cancer. In order to meet the scope of resection of esophageal cancer, we have retained the residual gas, so that we can have a good digestive function after surgery to maintain or approach preoperative levels. Therefore, we designed a surgical method to reposition the stomach, spleen, and part of the pancreatic tail into the left chest and to reconstruct the digestive tract with an esophageal residual gastrostomy. From February 1982 to August 1983, a total of 7 cases were performed, including resection of upper and middle esophageal cancers, and one case of gastric and gastric residual esophagus. There were 3 cases of cancer in the middle and lower esophagus, and 3 cases of aortic arch and subcoastal anastomosis of the esophagogastric remnant were all successful. This article mainly introduces the surgical methods and follow-up results. The surgical method is simple and the postoperative recovery is satisfactory.