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食管癌、贲门癌外科消化道重建术后其吻合口有三种重要并发症:吻合口瘘、吻合口狭窄和返流性食管炎。我院自1985年1月至1990年9月间,采用“隧道式”食管胃吻合术治疗食管癌及贲门癌236例,现将该术式在防止上述三种并发症的体会总结如下。 1 一般资料 本组男177例,女59例,男女之比3:1;年龄28～81岁,平均61岁。贲门癌163例,食管癌73例;病变属Ⅰ期4例,Ⅱ期49例,Ⅲ期183例。
There are three important complications in the anastomosis of esophageal and cardiac cancer after surgical reconstruction of the digestive tract: anastomotic leakage, anastomotic stricture, and reflux esophagitis. In our hospital from January 1985 to September 1990, “tunnel” esophagogastric anastomosis was used to treat 236 cases of esophageal and cardiac cancers. The experience of this procedure in preventing these three complications is summarized below. 1 General Information The group of 177 males and 59 females, male to female ratio of 3:1; aged 28 to 81 years old, an average of 61 years old. There were 163 cases of cardiac cancer and 73 cases of esophageal cancer. There were 4 cases of stage I, 49 cases of stage II, and 183 cases of stage III.