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食管胃吻合口瘘是食管、贲门癌切除术后的严重并发症。近来由于操作技术的熟练,吻合方法的改进及吻合器的使用,吻合口瘘的发生率有所下降,但吻合口瘘的死亡率仍然很高。文献上对于吻合瘘的发生原因,预防及治疗已有不少报道,但二次开胸治愈胸内吻合口瘘的报道不多。1988年6月我们对1例贲门癌术后早期胸内吻合口瘘采用二次开胸,胸内食管胃重建吻合口获得成功,现报告如
Esophagogastrostomy fistula is a serious complication after esophageal and cardiac cancer resection. Recently, the incidence of anastomotic leakage has decreased due to the skill of operating techniques, the improvement of anastomotic methods, and the use of staplers, but the mortality of anastomotic fistulas remains high. In the literature, there have been many reports on the causes of anastomotic leakage, prevention and treatment, but there have been few reports on the treatment of intrathoracic anastomotic leakage with secondary thoracotomy. In June 1988, we successfully performed a secondary thoracotomy for the early intrathoracic anastomotic stoma after cardiac surgery for a case of cardiac cancer. Successful reconstruction of the anastomosis in the intrathoracic esophagogastric cavity was reported.