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中段、中上段食管癌切除后,食道重建多用胃代食管。通常将胃置于胸腔,跨行主动脉,在主动脉弓上或胸顶部行食管、胃吻合。但弓上吻合后发生吻合口瘘的机会相对较多,且术后因胃在胸腔内的影响,往往有胸部憋闷、气短及食物返流的缺点。我院自1984年9月以来,试将胃从主动脉弓后上提置于纵隔间隙,作弓上或胸顶部食管,胃吻合,完成食道重建术。已行五例。随访六月以上,效果满意。
After the resection of esophageal carcinoma in the middle and upper segments, the esophagus reconstructed with gastric esophagus. The stomach is usually placed in the chest cavity, straddling the aorta, and esophageal and gastric anastomosis is performed on the aortic arch or on the top of the chest. However, there is a relatively high chance of anastomotic leakage after anastomosis on the bow, and due to the influence of the stomach in the chest cavity after surgery, there are often shortcomings such as chest tightness, shortness of breath, and food reflux. Since September 1984 in our hospital, we have tried to lift the stomach from the aortic arch and put it in the mediastinal space, making a bow or esophagus at the top of the chest, and anastomosis of the stomach to complete the reconstruction of the esophagus. There are five cases. Follow-up for more than six months, the results were satisfactory.