自1980年5月至1985年9月,采用食管内翻拔脱术治疗食管癌3例。报告如下: 病例及手术方法例1:男,40岁。1980年5月22日因吞咽困难伴胸骨后不适4月余入院。钡餐示食管上段2cm狭窄,拉网证实为鳞癌。于5月29日行拔脱术。分离颈段食管时,发现肿块与气管膜部有一条索状纤维组织,未给予处理。拔脱时遇阻,采用“冲击状”拉力。检查拔出的食管完整,但病人出现随正压呼吸有血性气泡自颈部切口冲出。即从颈部切口食指探查,发现主动脉弓乎面以上的气管膜有一条2.5cm的纵形撕裂口。于是经胸骨正中劈开,显露撕裂处的气管膜部,用丝线间断缝合10余计。术后恢复较好,痊愈 From May 1980 to September 1985, 3 cases of esophageal cancer were treated with esophageal valgus withdrawal. The report is as follows: Cases and surgical methods Example 1: Male, 40 years old. On May 22, 1980, I was hospitalized for more than 4 months due to dysphagia and poststernal discomfort. Barium meal shows that the upper esophagus is narrowed by 2cm, and the pull-net is confirmed as squamous cell carcinoma. On May 29, it was removed. When the cervical esophagus was separated, there was a cord-like fibrous tissue between the tumor and the trachea, which was not treated. Pull off resistance, use “impact-like” pull. The extracted esophagus was intact, but the patient developed a bloody bubble with positive pressure breathing out of the neck incision. That is, from the neck incision index finger exploration, found that the aortic arch surface above the tracheal membrane has a 2.5cm longitudinal tear. Then the midst of the sternum was opened and the trachea at the tear site was revealed, and more than 10 stitches were interrupted with silk thread. Postoperative recovery is good, healed