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目的 :探讨左进胸入路食管癌切除食管床弓上胃食管吻合术 ,试减少食管癌手术后并发症。方法 :对 5 2例食管癌患者行左进胸入路食管癌切除 ,行食管床弓上胃食管吻合术。结果 :5 2例中 2例出现吻合口狭窄 ,经气囊扩张好转 ;未发现 1例出现吻合口瘘和肺部感染。口服 76 %泛影葡胺造影 ,见吻合口通畅 ,不弯曲。患者无胸闷不适感觉。结论 :食管癌采用左进胸入路切除食管床内弓上胃食管吻合 ,效果满意 ,可有效地避免吻合口瘘及肺部并发症。
Objective: To investigate the left upper thoracic esophageal cancer resection esophageal bow on the gastroesophageal anastomosis, try to reduce the postoperative complications of esophageal cancer. Methods: Fifty-two patients with esophageal cancer underwent left-sided thoracoscopic esophageal resection and the esophageal-bowel upper gastro-esophageal anastomosis. Results: In 52 cases, anastomotic stenosis occurred in 2 cases and the balloon dilatation improved. No anastomotic fistula or pulmonary infection was found in 1 case. Oral 76% diatrizoate, see anastomotic patency, no bending. Patients without chest discomfort feeling. Conclusion: The treatment of esophageal cancer by left-thoracotomy and esophagogastric esophagogastrostomy is satisfactory, which can effectively prevent anastomotic fistula and pulmonary complications.