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颈部吻合口狭窄是食管癌贲门癌切除术后的主要并发症之一。作者自1987年1月至1993年7月行食管癌贲门癌切除、颈部食管胃吻合术281例。除吻合口裂开和住院死亡的12例外,对其余269例的吻合口状况作了长期观察。269例中男性201例,女性68例。年龄61±9.9(35～82)岁。肿瘤位于食管上段者3例,中段者54例,下段者103例,贲门者109例。手工吻合114例,其余为机械吻合。病理结果鳞癌92例,腺癌161例,未
Anastomotic neck stenosis is one of the major complications after esophageal cancer resection. From January 1987 to July 1993, the authors performed 281 cases of esophageal carcinoma resection and cervical esophagogastrostomy. In addition to 12 exceptions for anastomotic dehiscence and hospital deaths, long-term observations were made of the remaining 269 anastomotic sites. There were 201 males and 68 females in 269 cases. Age 61±9.9 (35-82) years old. The tumors were located in the upper esophagus in 3 cases, in the middle segment in 54 cases, in the lower segment in 103 cases, and in the cardiac valve in 109 cases. Manually anastomosis 114 cases, the rest mechanical anastomosis. Pathological results 92 cases of squamous cell carcinoma, 161 cases of adenocarcinoma, not