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我科从1988年8月至1990年4月,在连续35例食管癌手术中,采用胃经食管床代替食管一层吻合法,并改进围术期处理,防止了术后吻合口瘘等常见并发症。因例数尚少,仅报告初步经验体会。临床资料全组35例,男性29例,女性6例,年龄40～68岁(平均56岁)。癌长3～4cm,其中食管中段癌20例,中下段癌8例,下段癌7例,有6例病变侵及贲门。主动脉弓上吻合27例,弓下吻合8例,
In our department from August 1988 to April 1990, in a series of 35 cases of esophageal cancer surgery, the use of gastric transesophageal bed instead of esophageal layer of anastomosis, and improve the perioperative treatment, to prevent postoperative anastomotic leakage and other common complication. Due to the small number of cases, only preliminary experience was reported. The clinical data of the entire group were 35 cases, 29 males and 6 females, aged 40-68 years (mean 56 years). Cancer length 3 ~ 4cm, of which 20 cases of middle esophageal cancer, 8 cases of lower and middle cancer, 7 cases of the lower segment of the cancer, there are 6 cases of lesion invasion and cardia. Aortic arch anastomosis was performed in 27 cases and anastomosis in 8 cases.