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食管贲门癌手术,食管胃吻合口瘘是最严重的并发症,也是术后死亡的主要原因之一。其发病率文献统计平均为5～10%。国外报告最高达27.6%。贲门癌手术后吻合口瘘发生率略低,国內大组病例报道贲门癌手术后吻合口瘘在2.4～4.1%。我院从1982年4月～1978年12月,采用残密的纵隔胸膜及带血管蒂大网膜组织重新修复术侧纵隔胸膜的手术方法,对165例贲门癌和低位食管癌的手术治疗,术后无发生吻合口瘘。报告如下:
Esophageal and cardia cancer surgery, esophagogastric anastomotic leakage is the most serious complication, and it is also one of the main causes of postoperative death. The average incidence rate of the literature is 5 to 10%. Foreign reports up to 27.6%. The incidence of anastomotic leakage after cardiac cancer surgery was slightly lower. A large group of patients in the country reported anastomotic leakage of 2.4 to 4.1% after surgery for cardiac cancer. From April 1982 to December 1978 in our hospital, we used the surgical method of reconstructing the mediastinal pleura of the mediastinal pleura and vascularized greater omentum to surgically treat 165 cases of cardiac cancer and low esophageal cancer. There was no anastomotic leakage after surgery. The report is as follows: