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自1992年10月至1994年9月用横结肠重建食管保留贲门外科治疗食管癌26例。其中,颈段5例,胸上段5例,胸中段16例。行咽吻合2例,颈部吻合8例,胸顶吻合16例。手术后无反流24例,轻度反流2例。并发症为30.7%。吻合口瘘4例,胃梗阻1例,颈部切口感染3例,肺部感染1例。死亡2例,占7.7%,其中一例为结肠贲门吻合口瘘,另一例为肺部全身感染死亡。尽管并发症及死亡率比较高.但此术式中结肠能代替全段食管,手术后无胸胃综合征,并具有保留胃解剖功能等优点。因此,此法值得进一步临床探讨。
From October 1992 to September 1994, 26 patients with esophageal cancer were treated with transvaginal colon reconstructive surgery. Among them, there were 5 cases of cervical segment, 5 cases of upper thoracic segment and 16 cases of midthoracic segment. There were 2 cases of pharyngeal anastomosis, 8 cases of cervical anastomosis, and 16 cases of chest top anastomosis. There were no cases of reflux in 24 cases and mild reflux in 2 cases. The complication was 30.7%. There were 4 cases of anastomotic leakage, 1 case of gastric obstruction, 3 cases of neck incision infection, and 1 case of pulmonary infection. Two patients died, accounting for 7.7%. One patient had a colonic cardia anastomotic fistula and the other died of systemic pulmonary infection. Although complications and mortality are relatively high. However, in this surgical procedure, the colon can replace the entire esophagus, there is no thoracic stomach syndrome after surgery, and it has the advantages of preserving the anatomical function of the stomach. Therefore, this method is worthy of further clinical investigation.