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采用经食管床主动脉弓上食管胃重建,大网膜及纵隔胸膜包盖吻合部的方法治疗中、下段食管癌436例。发生吻合口瘘1侧(0.23%),术后死亡4例(0.9%)。本文着重介绍此术式的操作及其在预防吻合口瘘中的作用。
Transesophageal reconstruction with esophageal aortic arch, omentum, and mediastinal pleura were used to treat 436 cases of esophageal cancer in the middle and lower segments. One side of the anastomotic fistula occurred (0.23%), and 4 patients died (0.9%). This article focuses on the operation of this procedure and its role in the prevention of anastomotic leakage.