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1 对象和方法 1.1 对象 1986年3月-1993年11月我们对食管癌贲门癌切除后食管胃行端侧吻合倾斜套叠包埋吻合的方法,以预防术后反流性食管炎。共治疗92例,男76例,女16例;年龄30-73岁,平均51.5岁。食管癌49例,贲门癌43例,行主动脉弓下吻合41例,弓上吻合51例。 1.2 方法气管插管静脉复合麻醉,右侧卧位,左后外侧剖胸切口;常规行食管癌贲门癌根治性切除,食管旁及胃小弯淋巴结清扫,食管胃胸内弓下或弓上端侧吻合;将吻合口倾斜套叠
1 Subjects and methods 1.1 Object March 1986-November 1993 We conducted an esophagogastric anastomosis incision overlay and nesting anastomosis after esophageal and cardiac cancer resection to prevent postoperative reflux esophagitis. A total of 92 cases were treated, 76 males and 16 females; aged 30-73 years, with an average of 51.5 years. There were 49 cases of esophageal cancer, 43 cases of cardia cancer, 41 cases of aortic arch anastomosis, and 51 cases of arch anastomosis. 1.2 methods of tracheal intubation intravenous anesthesia, right lateral position, left posterior lateral incision breast incision; conventional radical resection of esophageal carcinoma of the cardia, esophageal and small bowel lymph node dissection, esophagogastric intrathoracic arch or arch anastomosis Tilt the anastomosis