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作者报告了一种食管、贲门癌外科手术治疗中防止食管胃吻合口瘘的新的手术方法——“食管胃两定点吻合法”。食管胃两定点吻合法的技术要领是:利用定点吻合线的牵引作用,使食管胃吻合口的创缘自然合拢于一个平面上,使全层缝合状况改善,为创缘组织生长创造了良好环境。结果表明,本组连续400例无一例吻合口瘘发生。作者同时进行32例成人尸体食管血供的系统观测研究,发现下胸段食管动脉分支共有158支(平均4.96±1.73支),上胸段食管动脉分支共有112支(平均3.53±1.83支),腹段食管动脉分支共75支(平均2.30±1.23支),作者认为食管全程血供丰富,手术治疗中,只要遵循外科手术的基本要求。吻合口血供能够得到满足。
The authors reported a new surgical method for the prevention of esophageal anastomotic fistula in surgical treatment of esophageal and cardiac cancers: “Esophagogastrostomy.” The technical point of the esophagogastric two-point fixed anastomosis method is: using the traction of the fixed point line, the wound edges of the esophagogastric anastomosis naturally close together on a plane, so that the suture status of the whole layer is improved, and a good environment is created for the growth of the wound tissue. . The results showed that there was no case of anastomotic leakage in 400 consecutive patients in this group. The author also conducted a systematic observational study of 32 cases of adult cadaveric blood supply, and found that there were 158 branches of the lower thoracic esophagus (mean 4.96±1.73) and 112 branches of the upper esophagus (average 3. There were a total of 75 (1.8 ± 1.83) branches and a total of 75 esophageal artery branches (average 2.30 ± 1.23). The author believes that the esophageal blood supply is abundant. In surgical treatment, only the basic surgical requirements are followed. Anastomotic blood supply can be satisfied.