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1989年5月～1990年5月,我们采用左侧开胸经食管床全胃移植颈部吻合术治疗食管癌15例,获得满意效果,报道如下。临床资料本组15例中,男12例,女3例。年龄42岁～68岁。中段癌13例,上段癌2例。肿瘤直径5cm以内11例,5cm以上4例。治疗结果:无手术死亡。术后摄胸片,胸内不见胃影,肺膨胀良好。吞钡摄片见吻合口通畅,垂直,移植胃在原食管床内,邻近器官未见受压。讨论1、左侧开胸经食管床全胃移植颈部吻合,术中不必改变体位。无需作腹部切口即能完成手术。不但可减少术野的污染,而且减少了手术创
From May 1989 to May 1990, we used a thoracotomy with a transesophageal bed and a total gastric anastomosis to treat 15 cases of esophageal cancer with satisfactory results. The report is as follows. Clinical data in this group of 15 cases, 12 males and 3 females. Age 42 to 68 years old. There were 13 cases of middle cancer and 2 cases of upper cancer. The tumor diameter was less than 5cm in 11 cases and 5cm in 4 cases. Treatment outcome: No operative death. Chest radiographs were taken after the operation. There was no stomach shadow in the chest and the lungs swelled well. The anastomotic patency of the swallowed radiography showed an unobstructed patency. Vertically, the transplanted stomach was in the original esophagus bed and no pressure was found in the adjacent organs. Discussion 1. The open thoracotomy on the left side of the transesophageal bed has a total neck anastomosis, and it is not necessary to change the position during surgery. No abdominal incision is needed to complete the operation. Not only can reduce the pollution of the surgical field, but also reduces the surgical trauma