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目的总结40例食管贲门癌切除消化道重建无吻合口瘘的临床经验,避免或降低吻合口瘘的发生。方法回顾性分析我院2005年8至2007年8月手术治疗的40例食管贲门癌患者的临床资料。结果本组连续行40例重建术,术后病理检查手术切缘均无癌残留,无吻合口瘘发生,吻合口狭窄1例,经内镜气囊扩张后缓解,均痊愈出院。结论食管贲门癌消化道重建吻合口瘘原因是多方面的,术前加强营养,术中吻合口正规操作,良好缝合,术后围手术期有效管理,能预防吻合口瘘的发生。
Objective To summarize the clinical experience of 40 patients with esophageal and cardiac resections of gastrointestinal tract without anastomotic leakage and to avoid or reduce the occurrence of anastomotic fistula. Methods The clinical data of 40 patients with esophageal and cardiac cancer undergoing surgery in our hospital from August 2005 to August 2007 were retrospectively analyzed. Results Forty cases underwent reconstructive surgery in this series. There was no residual tumor at the resection margin after surgery. No anastomotic fistula occurred and anastomotic stenosis occurred in 1 case. All cases were cured by endoscopic balloon dilatation and were discharged. Conclusions Esophageal and cardiac resections of anastomotic fistula due to digestive tract reconstruction are various. Preoperative nutrition, regular operation of anastomotic anastomosis, good suture, effective perioperative management can prevent the occurrence of anastomotic fistula.