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我院外科于1988年10月～1989年8月,对6例食管下段、贲门癌患者,施行食管插入胃腔的吻合法,随访一年,效果尚满意,报告如下。手术方法切除肿瘤段后,残留的胃于前壁另作横行切口4cm,并行粘膜下止血后切开胃腔备用。将食管残端的前后壁均作一纵行切开长约1cm,使食管残端形成左右二个瓣片,并以1号丝线将瓣片端之四个角行间断外翻缝合于食管上方,使食管粘膜外翻而不能回缩,而残端即呈磨菇头状形态,将该食管端插入胃腔内。在无张力情况下,将胃浆肌层间断缝合于食管上,使插入的食管与胃切缘牢固的包绕,缝合6
In our hospital from October 1988 to August 1989, we performed an anastomosis of the esophagus into the stomach cavity in 6 patients with lower esophageal and cardiac cancers. Follow-up for one year was still satisfactory. The report is as follows. After surgical removal of the tumor segment, the remaining stomach was transversely incised at the anterior wall by 4 cm, and submucosal hemostasis was followed by cutting into the appetite cavity. The esophageal stump front and rear walls were cut longitudinally by 1 cm, so that the esophageal stump formed left and right two flaps, and the 1st wire was used to interrupt the eversion of the four corners of the flap to the esophagus. The esophageal mucosa is everted and cannot be retracted, and the stump is in the form of a mushroom head. The esophageal end is inserted into the stomach cavity. In the absence of tension, the muscle layer of gastric pulp was sutured to the esophagus so that the inserted esophagus and stomach margin were firmly wrapped and sutured.