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目的 :探讨免胃管反穿刺法管状胃食管颈部端端吻合在微创食管切除中的应用价值。方法 :研究对象为2014年3月—2015年3月在新疆医科大学附属肿瘤医院胸外科接受微创食管癌切除术,并且应用反穿刺法行管状胃食管颈部端端吻合术且术中免除留置胃管及鼻肠管的83例经病理学证实的食管鳞癌患者。对术后短期吻合口相关并发症进行分析。结果 :83例患者的术后吻合口瘘发生率为2.4%(2/83),吻合口狭窄发生率为3.6%(3/83)。结论 :在微创食管癌切除术中,采用免胃管反穿刺法管状胃食管颈部端端吻合是安全而可行的,可以有效地降低吻合口瘘和吻合口狭窄的发生率。
Objective: To investigate the value of endoscopic gastric esophageal neck anastomosis in the treatment of minimally invasive esophageal resection. Methods: The study was performed from March 2014 to March 2015 in Department of Thoracic Surgery, Affiliated Tumor Hospital, Xinjiang Medical University to undergo minimally invasive esophageal cancer resection and to perform tube-shaped gastroesophageal neck end-to-end anastomosis 83 cases of gastric cancer and nasal tube pathologically confirmed esophageal squamous cell carcinoma patients. Short-term postoperative anastomotic complications were analyzed. Results: The incidence of postoperative anastomotic fistula was 2.4% (2/83) in 83 patients, and the incidence of anastomotic stenosis was 3.6% (3/83). Conclusion: In the minimally invasive esophageal resection, the use of tube-free gastric puncture gastric tube gastroesophageal neck end anastomosis is safe and feasible, can effectively reduce the incidence of anastomotic fistula and anastomotic stenosis.