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为了降低吻合口瘘的发生,我院自1988年以来,在对食管癌、贲门癌患者行胃食管吻合术或空肠代胃的空肠-食管、空肠-空肠及空肠-胃吻合术时,均采用单层宽边吻合法,取得了较好的效果。 1.临床资料:本组359例中,年龄35～71岁;食管癌217例,贲门癌142例;胃食管吻合347例。对全胃切除、空肠代胃及空肠间置患者施行食管-空肠单层宽边吻合12例,空肠-空肠单层宽边吻合12例,空肠-胃单层宽边吻合1例。其中胸内吻合154例,颈部吻合205例,腹内吻合12例。发生颈部吻合口瘘4例(1.9％),胸内吻合口瘘1例(0.6％),腹内吻合口无瘘发生。术后3～30个月复查未见吻合口狭窄发生。
In order to reduce the incidence of anastomotic leakage, our hospital has been using the jejuno-oesophagus, jejuno-jejuno and jejuno-gastric anastomosis for gastroesophageal anastomosis or jejunal gastroenterology for patients with esophageal or cardiac cancer since 1988. Single-layer wide-edge anastomosis has achieved good results. 1. Clinical data: Of the 359 cases in this group, patients aged 35 to 71 years old, 217 cases of esophageal cancer, 142 cases of cardiac cancer, and 347 cases of gastroesophageal anastomosis. For patients undergoing total gastrectomy, replacement of jejunum and jejunum, 12 cases of esophageal-jejunal broad-side anastomosis were performed, 12 cases of jejunum-jejunum single-layer broad-side anastomosis, and 1 case of jejunum-stomach monolayer broad-side anastomosis. Including 154 cases of intrathoracic anastomosis, 205 cases of neck anastomosis, 12 cases of intra-abdominal anastomosis Anastomotic neck fistula occurred in 4 cases (1.9%), intrathoracic anastomotic fistula occurred in 1 case (0.6%), and intra-abdominal anastomosis occurred without fistula. After 3 to 30 months of surgery, no anastomotic stenosis occurred.