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治疗食管癌常用的方法是经左胸切除食管癌,胃经左胸与食管作弓上或颈部吻合。由于胃的左胸占位,减少了肺的有效呼吸面积,食管或胃于主动脉弓左前跨过,径路长,吻合口张力大,又受胸内负压变化的影响,容易造成吻合口瘘。尤其当胃、食管于胸膜顶吻合时,食管中上段的游离和吻合比较困难,操
The commonly used method for the treatment of esophageal cancer is left thoracic resection of esophageal cancer, stomach through the left chest and esophagus for arch or neck anastomosis. Because the left chest of the stomach is occupied, the effective breathing area of the lung is reduced, the esophagus or the stomach crosses the left front of the aortic arch, the path length is long, the anastomotic tension is large, and the change of the negative pressure in the chest also affects the anastomotic leakage easily. Especially when the stomach and esophagus are anastomosed at the top of the pleura, the free and anastomosis of the upper esophagus is more difficult.