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目的 :探讨降低食管癌、贲门癌切除术后吻合口瘘及狭窄发生率的手术方法。方法 :对 12 0例病人采用食管胃后壁两定点前壁Gambee氏吻合法 ,并与同期采用传统双层包套式吻合法的 88例相比较。结果 :本组无吻合口瘘及狭窄发生 ,而传统吻合法颈部瘘发生率 7.4 % ( 4 / 54) ,胸内瘘发生率为 5.9% ( 2 / 34 )。吻合口狭窄 10例。结论 :食管胃后壁两定点前壁Gambee氏吻合法是一种操作简便 ,易于掌握 ,能有效防止吻合口瘘及狭窄的吻合方法 ,值得推广应用
Objective: To investigate the surgical methods to reduce the incidence of anastomotic fistula and stenosis after esophageal and cardiac resections. Methods: One hundred and twenty patients underwent Gambee’s anastomosis with two fixed anterior esophagogastric esophagogastric anastomoses and compared with 88 cases treated by traditional double-layer enveloping anastomosis during the same period. Results: There was no anastomotic fistula and stenosis in this group. The incidence of neck fistula was 7.4% (4/54) in conventional anastomosis and 5.9% (2/34) in thoracic fistula. Anastomotic stricture in 10 cases. Conclusion: Gambee’s anastomosis is an easy-to-use and easy-to-grasp method that can effectively prevent anastomotic fistula and stricture anastomosis, and it is worth popularizing.